Provider Demographics
NPI:1386944452
Name:NGUYEN, DUC V (PHARM D)
Entity type:Individual
Prefix:MR
First Name:DUC
Middle Name:V
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 WALERGA RD
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-5722
Mailing Address - Country:US
Mailing Address - Phone:916-725-6940
Mailing Address - Fax:916-725-9083
Practice Address - Street 1:7901 WALERGA RD
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-5722
Practice Address - Country:US
Practice Address - Phone:916-725-6940
Practice Address - Fax:916-725-9083
Is Sole Proprietor?:No
Enumeration Date:2010-10-23
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist