Ducanhhoa-Crystal Holton-Nguyentan | San Francisco, CA • PECOS Search

Ducanhhoa-Crystal Holton-Nguyentan

Pharmacist

Pharmacy Service Providers

505 Parnassus Ave, San Francisco, CA 94143-2204

PECOS Enrollment

Based on the most recent information from CMS, provider Ducanhhoa-Crystal Holton-Nguyentan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1902612203
Provider Type
Individual
Full Name
Holton-Nguyentan, Ducanhhoa-Crystal
Credential
PHARMD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/10/2024
Last Updated
12/10/2024

Contact Information

Practice Location

505 Parnassus Ave, San Francisco, CA 94143-2204

Unlisted Fax

Mailing Location

626 Peralta Ave, San Francisco, CA 94110-5738

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 85027 California