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Individual

DUC HA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 WILFORD HALL LOOP, LACKLAND AFB, TX 78236-5638
(757) 802-2654
Mailing address
1100 WILFORD HALL LOOP, LACKLAND AFB, TX 78236-5638
(757) 802-2654

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216102
VA

Other

Enumeration date
02/07/2020
Last updated
09/09/2021
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