Provider Demographics
NPI:1649715558
Name:NGUYEN, BICKKIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BICKKIE
Middle Name:
Last Name:NGUYEN
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 1:707 E OCEAN BLVD APT 1009
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-5179
Mailing Address - Country:US
Mailing Address - Phone:512-919-2718
Mailing Address - Fax:
Practice Address - Street 1:707 E OCEAN BLVD APT 1009
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5179
Practice Address - Country:US
Practice Address - Phone:512-919-2718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-01
Last Update Date:2017-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74463183500000X
AZS021525183500000X
ARPD12246183500000X
LAPST.019990183500000X
NV19285183500000X
TX51940183500000X
VA0202212790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist