Provider Demographics
NPI:1982158010
Name:NGUYEN, HANNAH HONG (PHARMD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:HONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9809 21ST AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-2617
Mailing Address - Country:US
Mailing Address - Phone:206-694-9154
Mailing Address - Fax:
Practice Address - Street 1:16735 SE 272ND ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-4942
Practice Address - Country:US
Practice Address - Phone:253-639-7433
Practice Address - Fax:253-639-7427
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60655006183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist