Provider Demographics
NPI:1225582653
Name:NGUYEN, GIAO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GIAO
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 1:615 MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-3624
Mailing Address - Country:US
Mailing Address - Phone:603-444-6400
Mailing Address - Fax:
Practice Address - Street 1:615 MEADOW ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-3624
Practice Address - Country:US
Practice Address - Phone:603-444-6400
Practice Address - Fax:603-444-6685
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3929183500000X
NC25822183500000X
VT033.0098925183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist