Provider Demographics
NPI:1891390779
Name:NGUYEN, THUHANG ERIN (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:THUHANG
Middle Name:ERIN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7611 W 90TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2105
Mailing Address - Country:US
Mailing Address - Phone:913-271-5089
Mailing Address - Fax:
Practice Address - Street 1:1215 W FOXWOOD DR
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-8301
Practice Address - Country:US
Practice Address - Phone:816-318-8022
Practice Address - Fax:816-331-3253
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20027567183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist