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NPI Code Detail

MEDICARE: DR. SY DUONG PHARMD

MEDICARE: DR. SY DUONG 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
1183500000XPharmacist51717TX

General Provider Information

NPI Number : 1174921225
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SY DUONG PHARMD
Provider Business Mailing Address
First Line : 6901 SAN PEDRO AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-6206
Country : US
Telephone Number : 210-349-9809
Fax Number : 210-349-5008
Provider Business Practice Location Address
First Line : 6901 SAN PEDRO AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-6206
Country : US
Telephone Number : 210-349-9809
Fax Number : 210-349-5008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2014
Last Update Date : 12/05/2014

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