Provider Demographics
NPI:1548509284
Name:LE, QUANG MINH NGUYEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:QUANG MINH
Middle Name:NGUYEN
Last Name:LE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MINH
Other - Middle Name:Q
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9250 W THOMAS RD STE 400
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-3386
Mailing Address - Country:US
Mailing Address - Phone:623-330-3669
Mailing Address - Fax:
Practice Address - Street 1:9250 W THOMAS RD STE 400
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3386
Practice Address - Country:US
Practice Address - Phone:623-330-3669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0192441835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist