Provider Demographics
NPI:1952421489
Name:NGUYEN, UYEN TRAN NGHI (PHARMACIST)
Entity Type:Individual
Prefix:MS
First Name:UYEN
Middle Name:TRAN NGHI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6699 CRYSTAL DOWNES CT SE
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-9085
Mailing Address - Country:US
Mailing Address - Phone:616-532-9241
Mailing Address - Fax:616-408-0158
Practice Address - Street 1:4410 DIVISION AVE S
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49548-4305
Practice Address - Country:US
Practice Address - Phone:616-532-9241
Practice Address - Fax:616-408-0158
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302032379183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist