Provider Demographics
NPI:1255931366
Name:LUU, THUY TIEN NGUYEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:THUY TIEN
Middle Name:NGUYEN
Last Name:LUU
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 1:15800 SOUTH FWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1834
Mailing Address - Country:US
Mailing Address - Phone:713-986-0087
Mailing Address - Fax:
Practice Address - Street 1:15800 SOUTH FWY
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-1834
Practice Address - Country:US
Practice Address - Phone:713-986-0087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66424183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist