Individual
LONG HOANG HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
20220 N 59TH AVE, GLENDALE, AZ 85308-6844
(623) 825-3311
Mailing address
20220 N 59TH AVE, GLENDALE, AZ 85308-6844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022784
AZ
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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