Provider Demographics
NPI:1851981864
Name:NGUYEN, AMY HONG NHUNG THI (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:AMY HONG NHUNG
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8116 SPENGLER DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-6373
Mailing Address - Country:US
Mailing Address - Phone:916-799-0204
Mailing Address - Fax:
Practice Address - Street 1:8116 SPENGLER DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95828-6373
Practice Address - Country:US
Practice Address - Phone:916-799-0204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-23
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH82278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty