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NPI Code Detail

MEDICARE: CHRISTINA NGUYEN

MEDICARE:   CHRISTINA  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
1183500000XPharmacist84896CA

General Provider Information

NPI Number : 1568139574
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA NGUYEN
Provider Business Mailing Address
First Line : 1794 CAMARGO DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95132-1605
Country : US
Telephone Number : 408-799-0764
Fax Number :
Provider Business Practice Location Address
First Line : 1029 E CAPITOL EXPY
Second Line :
City : SAN JOSE
State : CA
Zip : 95121-2415
Country : US
Telephone Number : 408-626-6060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2021
Last Update Date : 08/26/2021

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Directions to “ CHRISTINA NGUYEN ” Practice Location

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