Provider Demographics
NPI:1578553061
Name:LANG P NGUYEN CORPORATION DBA LOTUS PHARMACY
Entity type:Organization
Organization Name:LANG P NGUYEN CORPORATION DBA LOTUS PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:LANPHUONG
Authorized Official - Middle Name:N
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:281-983-9382
Mailing Address - Street 1:10839 BELLAIRE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2770
Mailing Address - Country:US
Mailing Address - Phone:281-983-9382
Mailing Address - Fax:281-983-0645
Practice Address - Street 1:10839 BELLAIRE BLVD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2770
Practice Address - Country:US
Practice Address - Phone:281-983-9382
Practice Address - Fax:281-983-0645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36304183500000X
TX153243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX143912Medicaid
TX4588010OtherNABP NCPDP
TX03780893Medicaid
TX15324OtherPHARMACY LICENSE