Provider Demographics
NPI:1215606546
Name:NGUYEN, THUONG-THUONG (PHARMD)
Entity Type:Individual
Prefix:
First Name:THUONG-THUONG
Middle Name:
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 1:24902 MOULTON PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-6403
Mailing Address - Country:US
Mailing Address - Phone:714-328-3740
Mailing Address - Fax:
Practice Address - Street 1:24902 MOULTON PKWY STE 110
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-6403
Practice Address - Country:US
Practice Address - Phone:714-328-3740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist