Provider Demographics
NPI:1871884619
Name:DOAN, JAMES HAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HAN
Last Name:DOAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20250 US HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2937
Mailing Address - Country:US
Mailing Address - Phone:760-946-1174
Mailing Address - Fax:760-242-1327
Practice Address - Street 1:20250 US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2937
Practice Address - Country:US
Practice Address - Phone:760-946-1174
Practice Address - Fax:760-242-1327
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist