MEDICARE: RACHEL TU 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
1	183500000X	Pharmacist	S027848	AZ

General Provider Information

NPI Number	:	1396697884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL TU NGUYEN PHARMD

Provider Business Mailing Address
First Line	:	5116 W OLIVE AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4209
Country	:	US
Telephone Number	:	623-937-4771
Fax Number	:

Provider Business Practice Location Address
First Line	:	5116 W OLIVE AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4209
Country	:	US
Telephone Number	:	623-937-4771
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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