Provider Demographics
NPI:1538476619
Name:NGUYEN, SEN T (PHARM D)
Entity Type:Individual
Prefix:MISS
First Name:SEN
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 1:6425 AIRLINE DRIVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-7027
Mailing Address - Country:US
Mailing Address - Phone:504-733-1854
Mailing Address - Fax:
Practice Address - Street 1:6425 AIRLINE DRIVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-7027
Practice Address - Country:US
Practice Address - Phone:504-919-9637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019216183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist