Provider Demographics
NPI:1528387461
Name:NGUYEN, PEARL N (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PEARL
Middle Name:N
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5545 E STEARNS ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3125
Mailing Address - Country:US
Mailing Address - Phone:562-596-8690
Mailing Address - Fax:562-596-1347
Practice Address - Street 1:5545 E STEARNS ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-3125
Practice Address - Country:US
Practice Address - Phone:562-596-8690
Practice Address - Fax:562-596-1347
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45301183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist