Provider Demographics
NPI:1801461603
Name:HAN, DA EUN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DA EUN
Middle Name:
Last Name:HAN
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 1:9864 OAKDALE WOODS CT
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22181-6075
Mailing Address - Country:US
Mailing Address - Phone:703-740-7891
Mailing Address - Fax:
Practice Address - Street 1:6717 RICHMOND HWY
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-6704
Practice Address - Country:US
Practice Address - Phone:703-721-0912
Practice Address - Fax:703-721-0918
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202219242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist