Provider Demographics
NPI:1669882015
Name:NGUYEN, HUY SI (PHARMD)
Entity type:Individual
Prefix:
First Name:HUY
Middle Name:SI
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 1:6187 EAGLE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-8039
Mailing Address - Country:US
Mailing Address - Phone:317-413-3380
Mailing Address - Fax:
Practice Address - Street 1:225 W SPRING MILL POINTE DR
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-7409
Practice Address - Country:US
Practice Address - Phone:463-243-3010
Practice Address - Fax:463-243-3034
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26020965A1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy