Individual
THAO THI PHUONG HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6365 STAGECOACH DR, WEST DES MOINES, IA 50266-8083
(515) 453-2760
Mailing address
3843 122ND ST, URBANDALE, IA 50323-2303
(515) 918-6010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24897
IA
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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