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Individual

KHANH HOANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 ENTERPRISE WAY NW APT 6109, HUNTSVILLE, AL 35806-3252
(972) 689-7889
Mailing address
1100 ENTERPRISE WAY NW APT 6109, HUNTSVILLE, AL 35806-3252
(256) 289-3739

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19190
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19190
ALABAMA PHARMACIST LICENSE
AL
Enumeration date
10/26/2021
Last updated
10/26/2021
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