Healthcare Provider Details

I. General information

NPI: 1154232072
Provider Name (Legal Business Name): LYNE T NGUYEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 N 9TH AVE
PENSACOLA FL
32504-8721
US

IV. Provider business mailing address

5151 N 9TH AVE
PENSACOLA FL
32504-8721
US

V. Phone/Fax

Practice location:
  • Phone: 850-416-4565
  • Fax:
Mailing address:
  • Phone: 850-416-4565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS69520
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: