Provider Demographics
NPI:1437957685
Name:NGUYEN, TAM THANH (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:
First Name:TAM
Middle Name:THANH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 STRAWBERRY RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-5103
Mailing Address - Country:US
Mailing Address - Phone:713-947-6767
Mailing Address - Fax:713-947-6768
Practice Address - Street 1:2615 STRAWBERRY RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-5103
Practice Address - Country:US
Practice Address - Phone:713-947-6767
Practice Address - Fax:713-947-6768
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist