Provider Demographics
NPI:1922606250
Name:NGUYEN, DAVIS TUAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:DAVIS
Middle Name:TUAN
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 1:5300 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-1726
Mailing Address - Country:US
Mailing Address - Phone:504-456-4851
Mailing Address - Fax:504-457-6970
Practice Address - Street 1:5300 VETERANS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-1726
Practice Address - Country:US
Practice Address - Phone:504-456-4851
Practice Address - Fax:504-457-6970
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.023477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist