Provider Demographics
NPI:1114186673
Name:NGUYEN, THUY-VY HOANG (PHARMD)
Entity type:Individual
Prefix:MS
First Name:THUY-VY
Middle Name:HOANG
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 1:24330 EL TORO RD
Mailing Address - Street 2:
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-2775
Mailing Address - Country:US
Mailing Address - Phone:949-830-0391
Mailing Address - Fax:949-830-1141
Practice Address - Street 1:24330 EL TORO RD
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-2775
Practice Address - Country:US
Practice Address - Phone:949-830-0391
Practice Address - Fax:949-830-1141
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist