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NPI Code Detail

MEDICARE: GIA QUOC NGUYEN RPH

MEDICARE: GIA QUOC NGUYEN RPH
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
1183500000XPharmacist14346NV

General Provider Information

NPI Number : 1437432382
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIA QUOC NGUYEN RPH
Provider Business Mailing Address
First Line : 5949 FALCONER AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-3417
Country : US
Telephone Number : 702-432-5633
Fax Number :
Provider Business Practice Location Address
First Line : 5011 E SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89142-2911
Country : US
Telephone Number : 702-432-5633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2011
Last Update Date : 09/27/2011

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