Provider Demographics
NPI:1508611963
Name:NGUYEN, TAMMY ANN HOA (PHARMD)
Entity Type:Individual
Prefix:
First Name:TAMMY ANN
Middle Name:HOA
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 1:636 JOE YENNI BLVD
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1822
Mailing Address - Country:US
Mailing Address - Phone:504-430-3501
Mailing Address - Fax:
Practice Address - Street 1:1527 MANHATTAN BLVD
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3405
Practice Address - Country:US
Practice Address - Phone:504-361-3966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA025260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist