Provider Demographics
NPI:1790146801
Name:NGUYEN, LINH MY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LINH
Middle Name:MY
Last Name:NGUYEN
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 1:39 LEOPARD RD
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1518
Mailing Address - Country:US
Mailing Address - Phone:610-240-0110
Mailing Address - Fax:610-240-0114
Practice Address - Street 1:39 LEOPARD RD
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1518
Practice Address - Country:US
Practice Address - Phone:610-240-0110
Practice Address - Fax:610-240-0114
Is Sole Proprietor?:No
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440272183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist