Provider Demographics
NPI:1275862310
Name:NGUYEN, THUY DOAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:THUY
Middle Name:DOAN
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 1:18924 WANDERING VINE CV
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3440
Mailing Address - Country:US
Mailing Address - Phone:512-836-7864
Mailing Address - Fax:512-836-7864
Practice Address - Street 1:18924 WANDERING VINE CV
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3440
Practice Address - Country:US
Practice Address - Phone:512-836-7864
Practice Address - Fax:512-836-7864
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist