Provider Demographics
NPI:1184946097
Name:NGHIEM, XUAN UYEN THUY (PHARMD)
Entity type:Individual
Prefix:MS
First Name:XUAN UYEN
Middle Name:THUY
Last Name:NGHIEM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 ANDERSON PL
Mailing Address - Street 2:LOWER
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1803
Mailing Address - Country:US
Mailing Address - Phone:214-733-7419
Mailing Address - Fax:
Practice Address - Street 1:291 W FERRY ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-1816
Practice Address - Country:US
Practice Address - Phone:716-882-6922
Practice Address - Fax:716-885-5905
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist