Provider Demographics
NPI:1801180245
Name:NGUYEN, LIEN HOANG THI (PHARMD)
Entity Type:Individual
Prefix:
First Name:LIEN
Middle Name:HOANG THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 MANHATTAN BLVD
Mailing Address - Street 2:T-1451
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3409
Mailing Address - Country:US
Mailing Address - Phone:504-364-1659
Mailing Address - Fax:504-364-1659
Practice Address - Street 1:1731 MANHATTAN BLVD
Practice Address - Street 2:T-1451
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3409
Practice Address - Country:US
Practice Address - Phone:504-364-1659
Practice Address - Fax:504-364-1659
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17945183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist