Provider Demographics
NPI:1720315138
Name:NGUYEN, HUYEN T (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:HUYEN
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
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 1:3934 WESSECK RD
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9373
Mailing Address - Country:US
Mailing Address - Phone:704-649-1491
Mailing Address - Fax:
Practice Address - Street 1:904 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3924
Practice Address - Country:US
Practice Address - Phone:336-887-1036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20509183500000X
VA0202209420183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist