Provider Demographics
NPI:1083826705
Name:NGUYEN, LEAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 S MLK WAY
Mailing Address - Street 2:TACOMA GENERAL HOSPITAL
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4402
Mailing Address - Country:US
Mailing Address - Phone:253-403-2403
Mailing Address - Fax:
Practice Address - Street 1:315 S MLK WAY
Practice Address - Street 2:TACOMA GENERAL HOSPITAL MB 2-RX
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:253-403-2403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00062521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist