Provider Demographics
NPI:1194609123
Name:NGUYEN, MARIA HIEN SUONG (PHARMD)
Entity type:Individual
Prefix:
First Name:MARIA HIEN
Middle Name:SUONG
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 1:3730 1ST AVE APT 10
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-4059
Mailing Address - Country:US
Mailing Address - Phone:267-969-8106
Mailing Address - Fax:
Practice Address - Street 1:3730 1ST AVE APT 10
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-4059
Practice Address - Country:US
Practice Address - Phone:267-969-8106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457378183500000X
CARPH90920183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist