Organization
HAO HOANG
Active
Other names
Laguna Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HAO HOANG (OWNER)
(916) 529-6722
Entity
Organization
Contact information
Practice address
9390 BIG HORN BLVD, STE 110, ELK GROVE, CA 95758-7978
(916) 684-9922
Mailing address
9390 BIG HORN BLVD, STE 110, ELK GROVE, CA 95758-7978
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5633133
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/19/2008
Last updated
12/24/2008
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