Provider Demographics
NPI:1881708469
Name:NGUYENS PHARMACY AND GIFTS INC
Entity type:Organization
Organization Name:NGUYENS PHARMACY AND GIFTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D C
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:206-323-6003
Mailing Address - Street 1:1221 S MAIN STREET
Mailing Address - Street 2:#103
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2089
Mailing Address - Country:US
Mailing Address - Phone:206-323-6003
Mailing Address - Fax:206-323-6552
Practice Address - Street 1:1221 S MAIN STREET
Practice Address - Street 2:#103
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2089
Practice Address - Country:US
Practice Address - Phone:206-323-6003
Practice Address - Fax:206-323-6552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACF00005185333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6019731Medicaid
WA0057453OtherLABOR & INDUSTRIES
WA0057453OtherLABOR & INDUSTRIES
WA6019731Medicaid