Provider Demographics
NPI:1093025348
Name:NGUYEN, THUY T (PHARMD)
Entity Type:Individual
Prefix:
First Name:THUY
Middle Name:T
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 1:805 DARIUS DR
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-2700
Mailing Address - Country:US
Mailing Address - Phone:228-313-3857
Mailing Address - Fax:
Practice Address - Street 1:921 CEDAR LAKE RD STE F
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-2126
Practice Address - Country:US
Practice Address - Phone:228-396-4412
Practice Address - Fax:228-396-4414
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-010310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist