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NPI Code Detail

MEDICARE: BRIAN TUAN NGUYEN PHARMD

MEDICARE: BRIAN TUAN 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
1183500000XPharmacist77078CA

General Provider Information

NPI Number : 1174033260
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN TUAN NGUYEN PHARMD
Provider Business Mailing Address
First Line : 5162 SEASIDE CT
Second Line :
City : UNION CITY
State : CA
Zip : 94587-5157
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3860 DECOTO RD
Second Line :
City : FREMONT
State : CA
Zip : 94555-3112
Country : US
Telephone Number : 510-793-9798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2017
Last Update Date : 10/03/2017

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Directions to “ BRIAN TUAN NGUYEN PHARMD” Practice Location

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