Provider Demographics
NPI:1568596567
Name:NGUYEN, TRINH DIEU (RPH)
Entity Type:Individual
Prefix:
First Name:TRINH
Middle Name:DIEU
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 1:2 THARP LN
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2225
Mailing Address - Country:US
Mailing Address - Phone:732-972-0705
Mailing Address - Fax:
Practice Address - Street 1:642 NEWMAN SPRINGS RD STE A
Practice Address - Street 2:
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1745
Practice Address - Country:US
Practice Address - Phone:732-741-7616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI19853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist