Most Relevant Information
Provider Data
| NPI Number: | 1003377037 |
| Provider Name: | MINHQUAN BA HOANG PHARMACIST |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 80310 |
Most Important Dates
| Enumeration Date: | 03/31/2019 |
| Last Updated: | 03/31/2019 |
Provider Practice Location
807 S MAIN ST
YREKA
CA
960973320
Practice Location Phone/Fax
| Phone: | 5308425596 |
| Fax: |
Provider Mailing Location
466 BEACH ST
ASHLAND
OR
975203210
Provider Mailing Phone/Fax
| Phone: | 9492078066 |
| Fax: |