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NPI Code Detail

MEDICARE: JULIA NGUYEN

MEDICARE: JULIA 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
1183500000XPharmacist88004CA

General Provider Information

NPI Number : 1215710314
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA NGUYEN
Provider Business Mailing Address
First Line : 2140 EL CAMINO REAL
Second Line :
City : SANTA CLARA
State : CA
Zip : 95050-4052
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2140 EL CAMINO REAL
Second Line :
City : SANTA CLARA
State : CA
Zip : 95050-4052
Country : US
Telephone Number : 408-246-1054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2023
Last Update Date : 08/14/2023

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Directions to “ JULIA NGUYEN ” Practice Location

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