Provider Demographics
NPI:1891802138
Name:NGUYEN, TRAMY H (PHARM TECH)
Entity Type:Individual
Prefix:
First Name:TRAMY
Middle Name:H
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARM TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10220 SE 192ND ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-7371
Mailing Address - Country:US
Mailing Address - Phone:808-781-6008
Mailing Address - Fax:
Practice Address - Street 1:10220 SE 192ND ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-7371
Practice Address - Country:US
Practice Address - Phone:808-781-6008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00044313183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAVA00044313OtherPHARM TECH