Provider Demographics
NPI:1427430263
Name:NGUYEN, KATHLEEN HUE (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:KATHLEEN
Middle Name:HUE
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 1:1509 E VALLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-2315
Mailing Address - Country:US
Mailing Address - Phone:760-735-5884
Mailing Address - Fax:760-735-5930
Practice Address - Street 1:1509 E VALLEY PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92027-2315
Practice Address - Country:US
Practice Address - Phone:760-735-5884
Practice Address - Fax:760-735-5930
Is Sole Proprietor?:No
Enumeration Date:2015-06-28
Last Update Date:2015-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51233183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist