MEDICARE: TUYEN 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	PS48629	FL

General Provider Information

NPI Number	:	1346659034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUYEN NGUYEN

Provider Business Mailing Address
First Line	:	270 DUNCAN LOOP E APT 301
Second Line	:
City	:	DUNEDIN
State	:	FL
Zip	:	34698-8390
Country	:	US
Telephone Number	:	727-366-0127
Fax Number	:

Provider Business Practice Location Address
First Line	:	2171 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3902
Country	:	US
Telephone Number	:	727-366-0127
Fax Number	:

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

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	08/06/2014

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Directions to “ TUYEN NGUYEN ” Practice Location

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