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NPI Code Detail

MEDICARE: HIEU THAI NGUYEN PHARMD

MEDICARE: HIEU THAI NGUYEN PHARMD
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
1183500000XPharmacist64186CA

General Provider Information

NPI Number : 1164704227
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIEU THAI NGUYEN PHARMD
Provider Business Mailing Address
First Line : 475 21ST AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94121-3011
Country : US
Telephone Number : 415-420-7919
Fax Number : 415-931-9825
Provider Business Practice Location Address
First Line : 1363 DIVISADERO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-3912
Country : US
Telephone Number : 415-931-9974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 09/15/2011

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Directions to “ HIEU THAI NGUYEN PHARMD” Practice Location

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