Provider Demographics
NPI:1104306265
Name:NGUYEN, VILINH (PHARMD)
Entity type:Individual
Prefix:
First Name:VILINH
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
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:PO BOX 570372
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77257
Mailing Address - Country:US
Mailing Address - Phone:832-704-4988
Mailing Address - Fax:817-572-0221
Practice Address - Street 1:1620 W. NORTHWEST HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051
Practice Address - Country:US
Practice Address - Phone:682-380-7521
Practice Address - Fax:817-572-0221
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-17
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63163183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist