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NPI Code Detail

MEDICARE: DR. DAVID D NGUYEN PHARMD

MEDICARE: DR. DAVID D 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
1183500000XPharmacist50516TX

General Provider Information

NPI Number : 1669782793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID D NGUYEN PHARMD
Provider Business Mailing Address
First Line : 3108 WILLOW BROOK DR
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2075
Country : US
Telephone Number : 682-367-9018
Fax Number :
Provider Business Practice Location Address
First Line : 3201 W SANER AVE
Second Line :
City : DALLAS
State : TX
Zip : 75233-1430
Country : US
Telephone Number : 214-377-4310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 10/08/2020

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