| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIMBERLY TUYET HOANG | 1497359335 | 2020-11-22 |
| Entity Type | Individual |
| Provider Name | Dr. Kimberly Tuyet Hoang PHARMD |
| Practice Office Address | 512 S BROADWAY SALEM, NH US |
| Practice Office Telephone | 6038985983 |
| Mailing Address | 512 S BROADWAY SALEM, NH 030794306 US |
| Code | License No | State |
|---|---|---|
| 183500000X | PH239032 | MA |
| 183500000X PRIMARY | PHCY-00916 | NH |