Healthcare Provider Details

I. General information

NPI: 1316611759
Provider Name (Legal Business Name): TRANG THI HUYNH NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2021
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13700 COLORADO BLVD
THORNTON CO
80602-7024
US

IV. Provider business mailing address

13700 COLORADO BLVD
THORNTON CO
80602-7024
US

V. Phone/Fax

Practice location:
  • Phone: 720-872-1660
  • Fax:
Mailing address:
  • Phone: 303-427-9295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0023635
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0023635
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: