Healthcare Provider Details

I. General information

NPI: 1952308918
Provider Name (Legal Business Name): HIEN T NGUYEN BS PHARMACY
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/06/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4242 EL CAJON BLVD
SAN DIEGO CA
92105-1230
US

IV. Provider business mailing address

4242 EL CAJON BLVD
SAN DIEGO CA
92105-1230
US

V. Phone/Fax

Practice location:
  • Phone: 619-521-0013
  • Fax: 619-521-1067
Mailing address:
  • Phone: 619-521-0013
  • Fax: 619-521-1067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH43385
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberTCH29450
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: