Provider Demographics
NPI:1427058148
Name:NGHIEM-NGUYEN, MAILOAN N (RPH)
Entity type:Individual
Prefix:MRS
First Name:MAILOAN
Middle Name:N
Last Name:NGHIEM-NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4011 PECAN PARK LN
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1344
Mailing Address - Country:US
Mailing Address - Phone:281-360-7219
Mailing Address - Fax:
Practice Address - Street 1:4755 ALDINE MAIL ROUTE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77039-5934
Practice Address - Country:US
Practice Address - Phone:289-985-7639
Practice Address - Fax:281-985-7796
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35323183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist