Provider Demographics
NPI:1770186694
Name:NGUYEN, DANNY
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8872 COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-9479
Mailing Address - Country:US
Mailing Address - Phone:513-677-1222
Mailing Address - Fax:513-677-1646
Practice Address - Street 1:8872 COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-9479
Practice Address - Country:US
Practice Address - Phone:513-677-1222
Practice Address - Fax:513-677-1646
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03325428183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist