Provider Demographics
NPI:1114387271
Name:NGUYEN, MINH-CHAU THI (PHARMD)
Entity Type:Individual
Prefix:
First Name:MINH-CHAU
Middle Name:THI
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 1:2761 JENSEN AVE
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-9797
Mailing Address - Country:US
Mailing Address - Phone:559-875-1813
Mailing Address - Fax:559-875-1295
Practice Address - Street 1:2761 JENSEN AVE
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-9797
Practice Address - Country:US
Practice Address - Phone:559-875-1813
Practice Address - Fax:559-875-1295
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60588183500000X
WAPH0060006183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist