MEDICARE: DUYVY NGUYEN PHARMD

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
1	183500000X	Pharmacist	RPH025659	GA

General Provider Information

NPI Number	:	1649126350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUYVY NGUYEN PHARMD

Provider Business Mailing Address
First Line	:	742 FARADAY CIR
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-4732
Country	:	US
Telephone Number	:	675-765-5680
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 BROADMOOR BLVD
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30518-5408
Country	:	US
Telephone Number	:	678-765-5680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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