Provider Demographics
NPI:1366196065
Name:NGUYEN, HOAI VY TRUC (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOAI VY
Middle Name:TRUC
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 1:801 LANDMARK DR STE B
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4986
Mailing Address - Country:US
Mailing Address - Phone:443-281-9157
Mailing Address - Fax:410-582-8728
Practice Address - Street 1:801 LANDMARK DR STE B
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4986
Practice Address - Country:US
Practice Address - Phone:443-281-9157
Practice Address - Fax:410-582-8728
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD283161835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty