Provider Demographics
NPI:1083934236
Name:NGUYEN, DONALD D (RPH)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:D
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 ALAMO PLZ
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-1550
Mailing Address - Country:US
Mailing Address - Phone:925-820-1233
Mailing Address - Fax:925-820-9472
Practice Address - Street 1:130 ALAMO PLZ
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-1550
Practice Address - Country:US
Practice Address - Phone:925-820-1233
Practice Address - Fax:925-820-9472
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 45282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist