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NPI Code Detail

MEDICARE: LINH T NGUYEN PHARM. D

MEDICARE: LINH T 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
1183500000XPharmacistPR12427ME

General Provider Information

NPI Number : 1356695498
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINH T NGUYEN PHARM. D
Provider Business Mailing Address
First Line : 35 PARK ST
Second Line :
City : MILO
State : ME
Zip : 04463-1152
Country : US
Telephone Number : 207-943-8750
Fax Number :
Provider Business Practice Location Address
First Line : 35 PARK ST
Second Line :
City : MILO
State : ME
Zip : 04463-1152
Country : US
Telephone Number : 207-943-8750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2012
Last Update Date : 10/26/2012

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Directions to “ LINH T NGUYEN PHARM. D” Practice Location

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