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NPI Code Detail

MEDICARE: THANH NHAT NGUYEN PHARM D

MEDICARE: THANH NHAT NGUYEN 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
1183500000XPharmacistPS 40170FL

General Provider Information

NPI Number : 1912280678
Entity Type Code : Individual
Provider Name (Legal Business Name) : THANH NHAT NGUYEN PHARM D
Provider Business Mailing Address
First Line : 5131 TUSCAN OAK DR
Second Line :
City : ORLANDO
State : FL
Zip : 32839-2077
Country : US
Telephone Number : 407-240-6025
Fax Number :
Provider Business Practice Location Address
First Line : 5211 S CONWAY RD
Second Line :
City : ORLANDO
State : FL
Zip : 32812-2202
Country : US
Telephone Number : 407-812-8770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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Directions to “ THANH NHAT NGUYEN PHARM D” Practice Location

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