Provider Demographics
NPI:1871340794
Name:NGUYEN, DUONG T (RPH)
Entity type:Individual
Prefix:DR
First Name:DUONG
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 STATE HIGHWAY 24
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:TX
Mailing Address - Zip Code:75428-2018
Mailing Address - Country:US
Mailing Address - Phone:903-886-0718
Mailing Address - Fax:903-886-0800
Practice Address - Street 1:2710 STATE HIGHWAY 24
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:TX
Practice Address - Zip Code:75428-2018
Practice Address - Country:US
Practice Address - Phone:903-886-0718
Practice Address - Fax:903-886-0800
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist