MEDICARE: NHU-HA THI NGUYEN

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	PS38618	FL

General Provider Information

NPI Number	:	1174127179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NHU-HA THI NGUYEN

Provider Business Mailing Address
First Line	:	2200 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-4001
Country	:	US
Telephone Number	:	727-791-3548
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-4001
Country	:	US
Telephone Number	:	727-791-3548
Fax Number	:

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

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	11/30/2020

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Directions to “ NHU-HA THI NGUYEN ” Practice Location

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