Provider Demographics
NPI:1073877841
Name:NGUYEN, NGUYEN-KHOI DO (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:NGUYEN-KHOI
Middle Name:DO
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 RAINIER AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-5348
Mailing Address - Country:US
Mailing Address - Phone:206-325-5725
Mailing Address - Fax:206-325-6747
Practice Address - Street 1:2345 RAINIER AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-5348
Practice Address - Country:US
Practice Address - Phone:206-325-5725
Practice Address - Fax:206-325-6747
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00070495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist