Provider Demographics
NPI:1740081348
Name:NGUYEN, TRANGCHAU KIM (PHARMD)
Entity type:Individual
Prefix:
First Name:TRANGCHAU
Middle Name:KIM
Last Name:NGUYEN
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10045 GOSLING CIR N APT 203
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-1791
Mailing Address - Country:US
Mailing Address - Phone:832-576-2392
Mailing Address - Fax:
Practice Address - Street 1:6770 MACON RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-7542
Practice Address - Country:US
Practice Address - Phone:901-371-0255
Practice Address - Fax:901-371-9604
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist