Provider Demographics
NPI:1770709677
Name:HOANG, ANDREW LOC (PHARMD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:LOC
Last Name:HOANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 NW 89TH TER
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8727
Mailing Address - Country:US
Mailing Address - Phone:954-704-1387
Mailing Address - Fax:954-704-1387
Practice Address - Street 1:6301 SW 41ST ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5030
Practice Address - Country:US
Practice Address - Phone:954-981-1282
Practice Address - Fax:954-981-1069
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0035187183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist