Provider Demographics
NPI:1518568237
Name:NGUYEN, MINH P (PHARMD)
Entity Type:Individual
Prefix:
First Name:MINH
Middle Name:P
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 1:2298 HIGHLAND WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-9409
Mailing Address - Country:US
Mailing Address - Phone:727-666-0400
Mailing Address - Fax:
Practice Address - Street 1:7990 BAYMEADOWS RD E UNIT 1105
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-2974
Practice Address - Country:US
Practice Address - Phone:727-666-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS61829183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist