Healthcare Provider Details

I. General information

NPI: 1629433131
Provider Name (Legal Business Name): HANG THUY NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2015
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 DIVISION ST STE B
BILOXI MS
39530-3001
US

IV. Provider business mailing address

917 DIVISION ST STE B
BILOXI MS
39530-3001
US

V. Phone/Fax

Practice location:
  • Phone: 228-280-8931
  • Fax: 228-280-8915
Mailing address:
  • Phone: 228-280-8931
  • Fax: 228-280-8915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberE-13098
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: