Provider Demographics
NPI:1871822015
Name:NGUYEN, HANH HUYNH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:HANH
Middle Name:HUYNH
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 1:1832 FM 646 RD W
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-3202
Mailing Address - Country:US
Mailing Address - Phone:281-614-5785
Mailing Address - Fax:281-614-5964
Practice Address - Street 1:1832 FM 646 RD W
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-3202
Practice Address - Country:US
Practice Address - Phone:281-614-5785
Practice Address - Fax:281-614-5964
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34586183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist