Provider Demographics
NPI:1275175804
Name:NGUYEN, DUYEN K (PHARMD)
Entity Type:Individual
Prefix:
First Name:DUYEN
Middle Name:K
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 1:4497 MORNING WIND CT
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-5902
Mailing Address - Country:US
Mailing Address - Phone:703-956-0455
Mailing Address - Fax:
Practice Address - Street 1:4497 MORNING WIND CT
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-5902
Practice Address - Country:US
Practice Address - Phone:703-956-0455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy