Provider Demographics
NPI:1851615744
Name:NGUYEN, TERESA BINH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:BINH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 NE SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-3101
Mailing Address - Country:US
Mailing Address - Phone:425-207-0053
Mailing Address - Fax:425-207-0056
Practice Address - Street 1:3011 NE SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-3101
Practice Address - Country:US
Practice Address - Phone:425-207-0053
Practice Address - Fax:425-207-0056
Is Sole Proprietor?:No
Enumeration Date:2010-03-21
Last Update Date:2010-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00060735183500000X
TX37800183500000X
MAPH23868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist