Provider Demographics
NPI:1164577987
Name:NGUYEN-NGO, BINH VUONG (PHARMD)
Entity Type:Individual
Prefix:
First Name:BINH
Middle Name:VUONG
Last Name:NGUYEN-NGO
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 1:14472 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5148
Mailing Address - Country:US
Mailing Address - Phone:714-839-5458
Mailing Address - Fax:
Practice Address - Street 1:14472 WARREN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5148
Practice Address - Country:US
Practice Address - Phone:714-839-5458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 52346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist