Provider Demographics
NPI:1225570724
Name:NGUYEN, MINH (PHARMD)
Entity Type:Individual
Prefix:
First Name:MINH
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:482 E ALTAMONTE SPRINGS DR
Mailing Address - Street 2:1005
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4604
Mailing Address - Country:US
Mailing Address - Phone:407-260-9973
Mailing Address - Fax:
Practice Address - Street 1:482 E ALTAMONTE DR
Practice Address - Street 2:1005
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4604
Practice Address - Country:US
Practice Address - Phone:407-260-9973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist