Provider Demographics
NPI:1275861700
Name:NGUYEN, SON THANH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SON
Middle Name:THANH
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 1:3033 W PRESIDENT GEORGE BUSH HWY STE 100B
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-5752
Mailing Address - Country:US
Mailing Address - Phone:833-862-4559
Mailing Address - Fax:855-862-4373
Practice Address - Street 1:3033 W PRESIDENT GEORGE BUSH HWY STE 100B
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5752
Practice Address - Country:US
Practice Address - Phone:833-862-4559
Practice Address - Fax:855-862-4373
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist