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NPI Code Detail

MEDICARE: CHAU QUY DIEM NGUYEN

MEDICARE: CHAU QUY DIEM 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
1183500000XPharmacistPS52330FL

General Provider Information

NPI Number : 1558753517
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAU QUY DIEM NGUYEN
Provider Business Mailing Address
First Line : 705 N PEBBLE BEACH BLVD
Second Line :
City : SUN CITY CENTER
State : FL
Zip : 33573-5350
Country : US
Telephone Number : 813-634-8393
Fax Number :
Provider Business Practice Location Address
First Line : 705 N PEBBLE BEACH BLVD
Second Line :
City : SUN CITY CENTER
State : FL
Zip : 33573-5350
Country : US
Telephone Number : 813-634-8393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2015
Last Update Date : 02/28/2015

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Directions to “ CHAU QUY DIEM NGUYEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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