Healthcare Provider Details

I. General information

NPI: 1558273375
Provider Name (Legal Business Name): HOWARD HAI NGUYEN PHARMD
Entity Type: Individual
Gender: Male
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

55 LAKE AVE N
WORCESTER MA
01655-0002
US

IV. Provider business mailing address

12618 SE 80TH WAY
NEWCASTLE WA
98056-9120
US

V. Phone/Fax

Practice location:
  • Phone: 206-979-5704
  • Fax:
Mailing address:
  • Phone: 206-979-5704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1003876
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: