Provider Demographics
NPI:1417629015
Name:NGUYEN, BRENDAN QUOC-ANH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:QUOC-ANH
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 1:113 BREMMER ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-8491
Mailing Address - Country:US
Mailing Address - Phone:509-378-9063
Mailing Address - Fax:
Practice Address - Street 1:113 BREMMER ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-8491
Practice Address - Country:US
Practice Address - Phone:509-378-9063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61180542183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist