Provider Demographics
NPI:1881129344
Name:NGUYEN, LIEN (PHARMD)
Entity type:Individual
Prefix:
First Name:LIEN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21590 VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91789-5241
Mailing Address - Country:US
Mailing Address - Phone:909-444-7807
Mailing Address - Fax:909-598-1760
Practice Address - Street 1:21590 VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91789-5241
Practice Address - Country:US
Practice Address - Phone:909-444-7807
Practice Address - Fax:909-598-1760
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist