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NPI Code Detail

MEDICARE: BICH NGOC NGUYEN PHARMD

MEDICARE: BICH NGOC NGUYEN PHARMD
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
1183500000XPharmacistRPH72377CA

General Provider Information

NPI Number : 1396139861
Entity Type Code : Individual
Provider Name (Legal Business Name) : BICH NGOC NGUYEN PHARMD
Provider Business Mailing Address
First Line : 1745 UNIVERSITY AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-5343
Country : US
Telephone Number : 951-684-5661
Fax Number : 951-684-6347
Provider Business Practice Location Address
First Line : 1745 UNIVERSITY AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-5343
Country : US
Telephone Number : 951-684-5661
Fax Number : 951-684-6347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2015
Last Update Date : 07/21/2022

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Directions to “ BICH NGOC NGUYEN PHARMD” Practice Location

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