Dung Nguyen
Individual provider Active NPI Pharmacist · Port Sulphur, LA
NPI 1053663849 · NPPES record last updated Oct 4, 2012
Key facts
- NPI
- 1053663849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 019472 (LA)
- Practice address
- 26852 Highway 23
Port Sulphur, LA 70083-2508 - Phone
- (504) 715-2197
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019472 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019472 | LA | Yes |
Addresses
Primary practice location
26852 Highway 23
Port Sulphur, LA 70083-2508
Mailing address
26852 Highway 23
Port Sulphur, LA 70083-2508
Phone (504) 715-2197
Other providers in Port Sulphur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.