Healthcare Provider Details

I. General information

NPI: 1235069022
Provider Name (Legal Business Name): THU NGOC NGUYEN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 N BROAD ST
LITITZ PA
17543-1028
US

IV. Provider business mailing address

385 N BROAD ST
LITITZ PA
17543-1028
US

V. Phone/Fax

Practice location:
  • Phone: 717-627-0081
  • Fax: 717-627-0069
Mailing address:
  • Phone: 717-627-0081
  • Fax: 717-627-0069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP036747L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: