Provider Demographics
NPI:1033698410
Name:NGUYEN, QUYNH-GIAO THY (PHARM D)
Entity Type:Individual
Prefix:
First Name:QUYNH-GIAO
Middle Name:THY
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 15TH ST SW
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-6502
Mailing Address - Country:US
Mailing Address - Phone:253-876-8657
Mailing Address - Fax:
Practice Address - Street 1:1002 15TH ST SW
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-6502
Practice Address - Country:US
Practice Address - Phone:253-876-8657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000551271835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care