Provider Demographics
NPI:1811362692
Name:HUA, NGHIEP (PHARMD)
Entity Type:Individual
Prefix:
First Name:NGHIEP
Middle Name:
Last Name:HUA
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 1:31 WHITTIER ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NH
Mailing Address - Zip Code:03858-3528
Mailing Address - Country:US
Mailing Address - Phone:617-750-5093
Mailing Address - Fax:
Practice Address - Street 1:181 PLAIN ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-5165
Practice Address - Country:US
Practice Address - Phone:978-703-2021
Practice Address - Fax:978-703-2031
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-05
Last Update Date:2015-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist