Healthcare Provider Details

I. General information

NPI: 1972785822
Provider Name (Legal Business Name): THUY OANH THI NGUYEN PHARMACY TECH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 S 271ST ST
KENT WA
98032-7801
US

IV. Provider business mailing address

3620 S 271ST ST
KENT WA
98032-7801
US

V. Phone/Fax

Practice location:
  • Phone: 206-779-0013
  • Fax: 206-340-0763
Mailing address:
  • Phone: 206-779-0013
  • Fax: 206-340-0763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberVA00067382
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: