Provider Demographics
NPI:1912332909
Name:NGUYEN, THUAN VU (RPH)
Entity Type:Individual
Prefix:
First Name:THUAN
Middle Name:VU
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 S 133RD ST APT A109
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-5098
Mailing Address - Country:US
Mailing Address - Phone:206-265-3151
Mailing Address - Fax:
Practice Address - Street 1:6801 S 133RD ST APT A109
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-5098
Practice Address - Country:US
Practice Address - Phone:206-265-3151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60379299183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist