Provider Demographics
NPI:1679454201
Name:NGUYEN, TRINH TINA HUE
Entity type:Individual
Prefix:MISS
First Name:TRINH
Middle Name:TINA HUE
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 MAYFIELD DR
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-7304
Mailing Address - Country:US
Mailing Address - Phone:843-566-5547
Mailing Address - Fax:
Practice Address - Street 1:153 MAYFIELD DR
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-7304
Practice Address - Country:US
Practice Address - Phone:843-566-5547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC60669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist