Healthcare Provider Details

I. General information

NPI: 1518244342
Provider Name (Legal Business Name): ALYSSA NGUYEN PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2011
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7812 E SPEEDWAY BLVD
TUCSON AZ
85710-1649
US

IV. Provider business mailing address

7812 E SPEEDWAY BLVD
TUCSON AZ
85710-1649
US

V. Phone/Fax

Practice location:
  • Phone: 520-885-3540
  • Fax:
Mailing address:
  • Phone: 520-885-3540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS019288
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number115581
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: