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NPI Code Detail

MEDICARE: ANH NGUYEN TRUC HUYNH

MEDICARE:   ANH NGUYEN TRUC HUYNH
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistS024920AZ

General Provider Information

NPI Number : 1619584620
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANH NGUYEN TRUC HUYNH
Provider Business Mailing Address
First Line : 4020 W ESCUDA DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-7409
Country : US
Telephone Number : 602-384-1821
Fax Number :
Provider Business Practice Location Address
First Line : 3511 W PEORIA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4037
Country : US
Telephone Number : 602-866-5453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2020
Last Update Date : 09/24/2020

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Directions to “ ANH NGUYEN TRUC HUYNH ” Practice Location

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