Provider Demographics
NPI:1952455305
Name:NGUYEN'S PHARMACEUTICAL COMPANY
Entity Type:Organization
Organization Name:NGUYEN'S PHARMACEUTICAL COMPANY
Other - Org Name:BELLAIRE DISCOUNT PHY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HIEN VIET
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-568-1888
Mailing Address - Street 1:10515 BELLAIRE BLVD
Mailing Address - Street 2:STE L
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5234
Mailing Address - Country:US
Mailing Address - Phone:281-568-1888
Mailing Address - Fax:281-568-1886
Practice Address - Street 1:10515 BELLAIRE BLVD
Practice Address - Street 2:STE L
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5234
Practice Address - Country:US
Practice Address - Phone:281-568-1888
Practice Address - Fax:281-568-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX188713336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144735Medicaid
2090577OtherPK
TX149103Medicaid
TX144735Medicaid