Provider Demographics
NPI:1740957919
Name:NGUYEN, ANDREW DUY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DUY
Last Name:NGUYEN
Suffix:
Gender:M
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 1:216 NW 53RD ST
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64118-4305
Mailing Address - Country:US
Mailing Address - Phone:816-786-0512
Mailing Address - Fax:
Practice Address - Street 1:6365 LEWIS DR
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-3699
Practice Address - Country:US
Practice Address - Phone:816-505-1708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021034000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist