Provider Demographics
NPI:1225690050
Name:NGUYEN, LOAN-CHI HUU (RPH)
Entity Type:Individual
Prefix:
First Name:LOAN-CHI
Middle Name:HUU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2923 LOCKPORT DR APT 202
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-6628
Mailing Address - Country:US
Mailing Address - Phone:703-835-1155
Mailing Address - Fax:
Practice Address - Street 1:5560 NORBECK RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-2441
Practice Address - Country:US
Practice Address - Phone:301-460-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202215737183500000X
MD24876183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist