Provider Demographics
NPI:1063711703
Name:NGUYEN, PAUL V (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:V
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 VALLEY BRUSH ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3813
Mailing Address - Country:US
Mailing Address - Phone:714-654-8438
Mailing Address - Fax:
Practice Address - Street 1:849 VALLEY BRUSH ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3813
Practice Address - Country:US
Practice Address - Phone:714-654-8438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist