Provider Demographics
NPI:1710003819
Name:VUONG, HUE NGOC (PHARM D)
Entity Type:Individual
Prefix:
First Name:HUE
Middle Name:NGOC
Last Name:VUONG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5503 W HEATHWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49512-9516
Mailing Address - Country:US
Mailing Address - Phone:616-656-9073
Mailing Address - Fax:
Practice Address - Street 1:2130 WEALTHY ST SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-3032
Practice Address - Country:US
Practice Address - Phone:616-451-0711
Practice Address - Fax:616-454-4213
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist