Provider Demographics
NPI:1760219992
Name:DANG, DENISE DUONG (PHARMD)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:DUONG
Last Name:DANG
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 1:16385 W WADDELL RD
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-9623
Mailing Address - Country:US
Mailing Address - Phone:602-325-1809
Mailing Address - Fax:
Practice Address - Street 1:16385 W WADDELL RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-9623
Practice Address - Country:US
Practice Address - Phone:602-325-1809
Practice Address - Fax:602-325-1800
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS027224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist