Provider Demographics
NPI:1326174921
Name:NGUYEN, TUYET THI (RPH)
Entity Type:Individual
Prefix:
First Name:TUYET
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10269 N CALLE DEL CARNERO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-9517
Mailing Address - Country:US
Mailing Address - Phone:520-877-9285
Mailing Address - Fax:
Practice Address - Street 1:7110 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4332
Practice Address - Country:US
Practice Address - Phone:520-575-1052
Practice Address - Fax:520-575-1520
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12459183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist