Provider Demographics
NPI:1093296899
Name:NGUYEN, JASON HUAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:HUAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6488 N ORACLE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5620
Mailing Address - Country:US
Mailing Address - Phone:520-297-8397
Mailing Address - Fax:520-575-8277
Practice Address - Street 1:6488 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5620
Practice Address - Country:US
Practice Address - Phone:520-297-8397
Practice Address - Fax:520-575-8277
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS023543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist