Provider Demographics
NPI:1376077198
Name:NGUYEN, MINHHANG LE (PHARMD RPH)
Entity Type:Individual
Prefix:DR
First Name:MINHHANG
Middle Name:LE
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-2408
Mailing Address - Country:US
Mailing Address - Phone:559-875-2044
Mailing Address - Fax:559-875-2268
Practice Address - Street 1:333 ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-2408
Practice Address - Country:US
Practice Address - Phone:559-875-2044
Practice Address - Fax:559-875-2268
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist