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NPI Code Detail

MEDICARE: TUNG NGUYEN

MEDICARE: TUNG 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
1183500000XPharmacist69334CA

General Provider Information

NPI Number : 1306245832
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUNG NGUYEN
Provider Business Mailing Address
First Line : 777 STORY RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95122-2628
Country : US
Telephone Number : 408-885-1760
Fax Number : 408-885-9147
Provider Business Practice Location Address
First Line : 777 STORY RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95122-2628
Country : US
Telephone Number : 408-885-1760
Fax Number : 408-885-9147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2014
Last Update Date : 08/20/2014

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Directions to “ TUNG NGUYEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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