Provider Demographics
NPI:1356635601
Name:NGUYEN, TERESA CAM-HUONG (PHARMD)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:CAM-HUONG
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 1:6244 MILOLII PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1913
Mailing Address - Country:US
Mailing Address - Phone:972-603-6619
Mailing Address - Fax:
Practice Address - Street 1:1450 ALA MOANA BLVD STE 2004
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4671
Practice Address - Country:US
Practice Address - Phone:808-949-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist