Provider Demographics
NPI:1457634545
Name:NGUYEN, BICH T (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:BICH
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29910 MURRIETA HOT SPRINGS RD STE A
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-3815
Mailing Address - Country:US
Mailing Address - Phone:951-894-1476
Mailing Address - Fax:951-698-1904
Practice Address - Street 1:29910 MURRIETA HOT SPRINGS RD STE A
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-3815
Practice Address - Country:US
Practice Address - Phone:951-894-1476
Practice Address - Fax:951-698-1904
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-24
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist