Provider Demographics
NPI:1154815124
Name:NGUYEN, LOUIS X (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:X
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6125 W SAHARA AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3002
Mailing Address - Country:US
Mailing Address - Phone:714-642-1514
Mailing Address - Fax:
Practice Address - Street 1:6125 W SAHARA AVE STE 1A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3002
Practice Address - Country:US
Practice Address - Phone:714-642-1514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty