Provider Demographics
NPI:1174813901
Name:NHU, NAM VIET (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NAM
Middle Name:VIET
Last Name:NHU
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 S DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31639-2441
Mailing Address - Country:US
Mailing Address - Phone:229-686-5113
Mailing Address - Fax:229-686-6598
Practice Address - Street 1:402 S DAVIS ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:GA
Practice Address - Zip Code:31639-2441
Practice Address - Country:US
Practice Address - Phone:229-686-5113
Practice Address - Fax:229-686-6598
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA022053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist