Provider Demographics
NPI:1629314497
Name:NGUYEN, THUYTRANG THANH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:THUYTRANG
Middle Name:THANH
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 1:57 LAVENDER DR
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2583
Mailing Address - Country:US
Mailing Address - Phone:856-228-5859
Mailing Address - Fax:
Practice Address - Street 1:339 SPRING GARDEN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-2926
Practice Address - Country:US
Practice Address - Phone:215-625-9802
Practice Address - Fax:215-925-4069
Is Sole Proprietor?:No
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043168L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist