Provider Demographics
NPI:1356593370
Name:NGUYEN, DAI HUU (PHARM D)
Entity type:Individual
Prefix:
First Name:DAI
Middle Name:HUU
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4104
Mailing Address - Country:US
Mailing Address - Phone:925-372-0945
Mailing Address - Fax:925-372-6516
Practice Address - Street 1:1165 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4104
Practice Address - Country:US
Practice Address - Phone:925-372-0945
Practice Address - Fax:925-372-6516
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57739183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist