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NPI Code Detail

MEDICARE: QUYNH HOA NGUYEN TRAN PHARM.D

MEDICARE: QUYNH HOA NGUYEN TRAN PHARM.D
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
1183500000XPharmacistRPH-0015642OR
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH60699127WA

General Provider Information

NPI Number : 1710421938
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUYNH HOA NGUYEN TRAN PHARM.D
Provider Business Mailing Address
First Line : 25250 PACIFIC HWY S
Second Line :
City : KENT
State : WA
Zip : 98032-6539
Country : US
Telephone Number : 253-946-7433
Fax Number : 253-946-7427
Provider Business Practice Location Address
First Line : 25250 PACIFIC HWY S
Second Line :
City : KENT
State : WA
Zip : 98032-6539
Country : US
Telephone Number : 253-946-7433
Fax Number : 253-946-7427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2016
Last Update Date : 02/18/2026

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