Provider Demographics
NPI:1780992693
Name:NGUYEN, PIPER A (RPH)
Entity type:Individual
Prefix:
First Name:PIPER
Middle Name:A
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FAULKNER RD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3969
Mailing Address - Country:US
Mailing Address - Phone:508-365-7007
Mailing Address - Fax:
Practice Address - Street 1:75 S BOLTON ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772-2844
Practice Address - Country:US
Practice Address - Phone:508-229-2924
Practice Address - Fax:508-229-8140
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25767183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist