Provider Demographics
NPI:1427327964
Name:NGUYEN, ANH-THU H IV (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:ANH-THU
Middle Name:H
Last Name:NGUYEN
Suffix:IV
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:950 TOWNE LAKE PKWY
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-1601
Mailing Address - Country:US
Mailing Address - Phone:770-924-0172
Mailing Address - Fax:770-924-2638
Practice Address - Street 1:950 TOWNE LAKE PKWY
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-1601
Practice Address - Country:US
Practice Address - Phone:770-924-0172
Practice Address - Fax:770-924-2638
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist