Provider Demographics
NPI:1982955548
Name:NGUYEN, VIVIEN UYEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:VIVIEN
Middle Name:UYEN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:UYEN
Other - Middle Name:QUOC THUC
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3800 ROSEDALE HWY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-6235
Mailing Address - Country:US
Mailing Address - Phone:661-852-2642
Mailing Address - Fax:661-852-2663
Practice Address - Street 1:3800 ROSEDALE HWY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6235
Practice Address - Country:US
Practice Address - Phone:661-852-2642
Practice Address - Fax:661-852-2663
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 52978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist