Provider Demographics
NPI:1326111816
Name:NGUYEN, PHU HUU (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PHU
Middle Name:HUU
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 1:5102 BEECHNUT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1423
Mailing Address - Country:US
Mailing Address - Phone:832-398-4621
Mailing Address - Fax:281-428-4702
Practice Address - Street 1:3007 GARTH RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3946
Practice Address - Country:US
Practice Address - Phone:281-428-4705
Practice Address - Fax:713-455-4722
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43081183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist