Provider Demographics
NPI:1639780448
Name:NGUYEN, VINCENT V (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:V
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3909
Mailing Address - Country:US
Mailing Address - Phone:972-675-0275
Mailing Address - Fax:972-675-0282
Practice Address - Street 1:1902 PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3909
Practice Address - Country:US
Practice Address - Phone:972-675-0275
Practice Address - Fax:972-675-0282
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist