Provider Demographics
NPI:1497048292
Name:NGUYEN, QUYNH-ANH MINH (PHARMD)
Entity Type:Individual
Prefix:
First Name:QUYNH-ANH
Middle Name:MINH
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 1:39782 WINCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3551
Mailing Address - Country:US
Mailing Address - Phone:951-676-0703
Mailing Address - Fax:951-676-0682
Practice Address - Street 1:39782 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3551
Practice Address - Country:US
Practice Address - Phone:951-676-0703
Practice Address - Fax:951-676-0682
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44430183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist