Provider Demographics
NPI:1649571704
Name:NGUYEN, MAIKHOI DIEP (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MAIKHOI
Middle Name:DIEP
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 1:7236 EATON CIR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-3230
Mailing Address - Country:US
Mailing Address - Phone:303-412-2136
Mailing Address - Fax:303-412-2186
Practice Address - Street 1:7236 EATON CIR
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-3230
Practice Address - Country:US
Practice Address - Phone:303-412-2136
Practice Address - Fax:303-412-2186
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14629183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist