Provider Demographics
NPI:1851743710
Name:NGUYEN, ERIC TRAN-HUY (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:TRAN-HUY
Last Name:NGUYEN
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 1:16303 EAGLERIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-6503
Mailing Address - Country:US
Mailing Address - Phone:562-686-4234
Mailing Address - Fax:
Practice Address - Street 1:8580 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-2520
Practice Address - Country:US
Practice Address - Phone:562-942-2268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-04
Last Update Date:2016-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72942183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist