Provider Demographics
NPI:1326208190
Name:NGUYEN, QUYNH-NHU THI (PHARMD)
Entity Type:Individual
Prefix:
First Name:QUYNH-NHU
Middle Name:THI
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 1:18785 BROOKHURST ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7300
Mailing Address - Country:US
Mailing Address - Phone:714-916-0880
Mailing Address - Fax:
Practice Address - Street 1:18785 BROOKHURST ST STE 201
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7300
Practice Address - Country:US
Practice Address - Phone:714-916-0880
Practice Address - Fax:714-916-0407
Is Sole Proprietor?:No
Enumeration Date:2008-06-14
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA600031835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist