Provider Demographics
NPI:1669026076
Name:NGUYEN, ALAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
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 1:100 GRAND LN APT 106
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-2256
Mailing Address - Country:US
Mailing Address - Phone:949-690-3169
Mailing Address - Fax:
Practice Address - Street 1:1190 VETERANS
Practice Address - Street 2:CYPRESS BUILDING, MEDICAL STATION E
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94603-9460
Practice Address - Country:US
Practice Address - Phone:650-299-4179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA792821835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care