Dr. Jerika Nguyen, PharmD, BCPS, BCCCP
Pharmacist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164031860
StatusActive
Last updated in NPPESJul 28, 2020
Details
- NPI
- 1164031860
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerika Nguyen
- Credential
- PharmD, BCPS, BCCCP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2020
- Certification date
- Jul 28, 2020
- Last updated
- Jul 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5302411567 | MI | Yes |
| 183500000X | Pharmacist | RPH-0016027 | OR | |
| 183500000X | Pharmacist | RP452948 | PA | |
| 1835C0205X | Pharmacist, Critical Care | 7152564 | MI | |
| 1835P1200X | Pharmacist, Pharmacotherapy | 3158708 | MI |
Practice location
525 Clancy Ave Ne Apt 120Grand Rapids, MI 49503-1843
Phone 616-350-1555
Mailing address
525 Clancy Ave Ne Apt 120Grand Rapids, MI 49503-1843
Phone 616-350-1555
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