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NPI Code Detail

MEDICARE: KOBI NGUYEN

MEDICARE: KOBI 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
1183500000XPharmacist4129WY
2183500000XPharmacist22615CO

General Provider Information

NPI Number : 1528605466
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOBI NGUYEN
Provider Business Mailing Address
First Line : 10700 KIMBLEWYCK CIR UNIT 201
Second Line :
City : NORTHGLENN
State : CO
Zip : 80233-6126
Country : US
Telephone Number : 303-931-3787
Fax Number :
Provider Business Practice Location Address
First Line : 7211 FEDERAL BLVD
Second Line :
City : WESTMINSTER
State : CO
Zip : 80030-4901
Country : US
Telephone Number : 303-931-3787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2019
Last Update Date : 12/10/2019

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