Provider Demographics
NPI:1356957278
Name:NGUYEN, HUY HOANG QUOC (PHARMD)
Entity type:Individual
Prefix:
First Name:HUY
Middle Name:HOANG QUOC
Last Name:NGUYEN
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 1:5230 TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-6814
Mailing Address - Country:US
Mailing Address - Phone:240-449-0383
Mailing Address - Fax:
Practice Address - Street 1:5230 TERRACE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-6814
Practice Address - Country:US
Practice Address - Phone:240-449-0383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454917183500000X
GARPH032431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist