Provider Demographics
NPI:1780966358
Name:NGUYEN, THUY HUONG (RPH)
Entity type:Individual
Prefix:
First Name:THUY
Middle Name:HUONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 AIRPORT BLVD STE B124
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6764
Mailing Address - Country:US
Mailing Address - Phone:251-633-2860
Mailing Address - Fax:251-631-3166
Practice Address - Street 1:6701 AIRPORT BLVD STE B124
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6764
Practice Address - Country:US
Practice Address - Phone:251-633-2860
Practice Address - Fax:251-631-3166
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist