Nguyen, Van

Nguyen, Van is an sole proprietor health care provider with primary practice located at 755 Nw Gilman Blvd , Issaquah WA 98027-5357. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacotherapy is her primary health care specialty. Nguyen, Van can be contacted via phone (425) 507-1020.

Contact Information

Primary practice address
755 Nw Gilman Blvd Issaquah WA 98027-5357
Phone: (425) 507-1020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 46174 Texas
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PH60747679 Washington

Profile Details

NPI number 1154659738
LBN Legal business name Nguyen, Van
Credentials PHARM. D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2009
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154659738 NPPES
Texas MEDICAID 462289

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