Healthcare Provider Details

I. General information

NPI: 1457504177
Provider Name (Legal Business Name): THANH-HUONG NGUYEN PHARMD, RPH, PHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2008
Last Update Date: 10/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 SEA FOAM ST NW
ALBUQUERQUE NM
87120-6245
US

IV. Provider business mailing address

1909 SEA FOAM ST NW
ALBUQUERQUE NM
87120-6245
US

V. Phone/Fax

Practice location:
  • Phone: 505-404-0978
  • Fax:
Mailing address:
  • Phone: 505-404-0978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPC157
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: