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NPI Code Detail

MEDICARE: MRS. TRAM HUE NGUYEN RPH

MEDICARE:  MRS. TRAM HUE NGUYEN  RPH
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
1183500000XPharmacistS013982AZ

General Provider Information

NPI Number : 1700116670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRAM HUE NGUYEN RPH
Provider Business Mailing Address
First Line : PO BOX 264
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-0090
Country : US
Telephone Number : 623-907-2472
Fax Number : 623-907-0548
Provider Business Practice Location Address
First Line : 2626 S 83RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-7207
Country : US
Telephone Number : 623-907-2472
Fax Number : 623-907-0548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2009
Last Update Date : 12/28/2009

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Directions to “ MRS. TRAM HUE NGUYEN RPH” Practice Location

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