Provider Demographics
NPI:1275933434
Name:NGUYEN, NEVIAH NGHI (PHARMD)
Entity Type:Individual
Prefix:
First Name:NEVIAH
Middle Name:NGHI
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 1:27100 EUCALYPTUS AVE
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-4522
Mailing Address - Country:US
Mailing Address - Phone:951-571-8015
Mailing Address - Fax:951-571-8025
Practice Address - Street 1:27100 EUCALYPTUS AVE
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-4522
Practice Address - Country:US
Practice Address - Phone:951-571-8015
Practice Address - Fax:951-571-8025
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist