Provider Demographics
NPI:1558666826
Name:NGUYEN, NGA B (NGA NGUYEN, PHARMD)
Entity Type:Individual
Prefix:
First Name:NGA
Middle Name:B
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:NGA NGUYEN, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10391 SW 150TH CT APT 10207
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3754
Mailing Address - Country:US
Mailing Address - Phone:305-401-0507
Mailing Address - Fax:
Practice Address - Street 1:10391 SW 150TH CT APT 10207
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3754
Practice Address - Country:US
Practice Address - Phone:305-401-0507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37490183500000X
TX48139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist