Provider Demographics
NPI:1780466862
Name:PHAM, HILARY HOA (PHARMD)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:HOA
Last Name:PHAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3336 BIRCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-1220
Mailing Address - Country:US
Mailing Address - Phone:408-964-0776
Mailing Address - Fax:
Practice Address - Street 1:3970 RIVERMARK PLZ
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-4155
Practice Address - Country:US
Practice Address - Phone:408-855-0985
Practice Address - Fax:408-855-0989
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist