Provider Demographics
NPI:1477957009
Name:NGUYEN, CHUONG H (PHARMD)
Entity type:Individual
Prefix:
First Name:CHUONG
Middle Name:H
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 1:1925 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21619-2607
Mailing Address - Country:US
Mailing Address - Phone:410-604-0981
Mailing Address - Fax:410-604-3208
Practice Address - Street 1:1925 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:MD
Practice Address - Zip Code:21619-2607
Practice Address - Country:US
Practice Address - Phone:410-604-0981
Practice Address - Fax:410-604-3208
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist