Provider Demographics
NPI:1952016818
Name:NGUYEN, STEPHEN HUNG (PHARMD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:HUNG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 BENTON LN
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-8262
Mailing Address - Country:US
Mailing Address - Phone:803-493-0739
Mailing Address - Fax:
Practice Address - Street 1:521 BENTON LN
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-8262
Practice Address - Country:US
Practice Address - Phone:803-493-0739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43742183500000X
NC31830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist