Healthcare Provider Details

I. General information

NPI: 1811288632
Provider Name (Legal Business Name): MELANIE DANHANG NGUYEN PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2011
Last Update Date: 04/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 S WHITE RD
SAN JOSE CA
95127-3812
US

IV. Provider business mailing address

1648 VALLEY CREST DR
SAN JOSE CA
95131-3125
US

V. Phone/Fax

Practice location:
  • Phone: 408-258-3311
  • Fax: 408-258-8152
Mailing address:
  • Phone: 408-441-0465
  • Fax: 408-258-8152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH51455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: