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NPI Code Detail

MEDICARE: DR. MAIPHUONG THI NGUYEN PHARM.D

MEDICARE:  DR. MAIPHUONG THI NGUYEN  PHARM.D
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
1183500000XPharmacist69230CA

General Provider Information

NPI Number : 1285003103
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAIPHUONG THI NGUYEN PHARM.D
Provider Business Mailing Address
First Line : 1266 HICKERSON CT
Second Line :
City : SAN JOSE
State : CA
Zip : 95127-4312
Country : US
Telephone Number : 832-964-8805
Fax Number :
Provider Business Practice Location Address
First Line : 1266 HICKERSON CT
Second Line :
City : SAN JOSE
State : CA
Zip : 95127-4312
Country : US
Telephone Number : 832-964-8805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2015
Last Update Date : 09/22/2015

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Directions to “ DR. MAIPHUONG THI NGUYEN PHARM.D” Practice Location

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