Provider Demographics
NPI:1104967165
Name:OH, NANCY NAYON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:NAYON
Last Name:OH
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 1:10043 E SHEENA DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-7546
Mailing Address - Country:US
Mailing Address - Phone:408-390-2106
Mailing Address - Fax:
Practice Address - Street 1:10043 E SHEENA DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-7546
Practice Address - Country:US
Practice Address - Phone:408-390-2106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12687183500000X
CA52543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist