Provider Demographics
NPI:1922880582
Name:NGUYEN, HOAN C (PHARMD)
Entity Type:Individual
Prefix:
First Name:HOAN
Middle Name:C
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 1:1000 S ACADIA RD
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-5076
Mailing Address - Country:US
Mailing Address - Phone:985-449-2626
Mailing Address - Fax:985-449-2632
Practice Address - Street 1:1000 S ACADIA RD
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-5076
Practice Address - Country:US
Practice Address - Phone:985-449-2626
Practice Address - Fax:985-449-2632
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.024879183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist