Provider Demographics
NPI:1437628187
Name:NGUYEN, NGUYEN DOAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NGUYEN
Middle Name:DOAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 STONE RUN DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-7809
Mailing Address - Country:US
Mailing Address - Phone:717-766-2549
Mailing Address - Fax:
Practice Address - Street 1:2150 BUMBLE BEE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5563
Practice Address - Country:US
Practice Address - Phone:717-796-1692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-23
Last Update Date:2018-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045515L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist