Provider Demographics
NPI:1912147646
Name:NGUYEN PHARMACY INC
Entity Type:Organization
Organization Name:NGUYEN PHARMACY INC
Other - Org Name:WESTBANK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:504-340-0777
Mailing Address - Street 1:3709 WESTBANK EXPY
Mailing Address - Street 2:SUITE 1-C
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2600
Mailing Address - Country:US
Mailing Address - Phone:504-340-0777
Mailing Address - Fax:504-340-0778
Practice Address - Street 1:3709 WESTBANK EXPY
Practice Address - Street 2:SUITE 1-C
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2600
Practice Address - Country:US
Practice Address - Phone:504-340-0777
Practice Address - Fax:504-340-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
LAPHY.006758-IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2119111OtherPK
LA2202464Medicaid