Provider Demographics
NPI:1699138396
Name:NGO, RICK HIEN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:HIEN
Last Name:NGO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-7025
Mailing Address - Country:US
Mailing Address - Phone:714-609-6963
Mailing Address - Fax:
Practice Address - Street 1:1626 ROCKY MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-7025
Practice Address - Country:US
Practice Address - Phone:714-609-6963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist