Provider Demographics
NPI:1053033381
Name:HOANG, LILIAN (RPH)
Entity type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:
Last Name:HOANG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 TURNERS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-2382
Mailing Address - Country:US
Mailing Address - Phone:678-900-7443
Mailing Address - Fax:
Practice Address - Street 1:5764 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-1908
Practice Address - Country:US
Practice Address - Phone:770-457-4401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH33775183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist