MEDICARE: VY H DUONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	77893	CA

General Provider Information

NPI Number	:	1124753900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VY H DUONG

Provider Business Mailing Address
First Line	:	3428 DEL MONTE AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93619-5191
Country	:	US
Telephone Number	:	619-792-3397
Fax Number	:

Provider Business Practice Location Address
First Line	:	3428 DEL MONTE AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93619-5191
Country	:	US
Telephone Number	:	619-792-3397
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	07/18/2022

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Directions to “ VY H DUONG ” Practice Location

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