Provider Demographics
NPI:1134412661
Name:DUONG, WILLIAM NGUYEN (PHARMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:NGUYEN
Last Name:DUONG
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 1:24330 EL TORO RD
Mailing Address - Street 2:
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-2775
Mailing Address - Country:US
Mailing Address - Phone:949-830-0391
Mailing Address - Fax:949-830-1141
Practice Address - Street 1:24330 EL TORO RD
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-2775
Practice Address - Country:US
Practice Address - Phone:949-830-0391
Practice Address - Fax:949-830-1141
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist