Healthcare Provider Details

I. General information

NPI: 1396697884
Provider Name (Legal Business Name): RACHEL TU NGUYEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5116 W OLIVE AVE
GLENDALE AZ
85302-4209
US

IV. Provider business mailing address

8117 N 56TH DR
GLENDALE AZ
85302-4659
US

V. Phone/Fax

Practice location:
  • Phone: 623-937-4771
  • Fax:
Mailing address:
  • Phone: 602-663-7949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS027848
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: