MEDICARE: VN DISCOUNT PHARMACY

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	16470	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2104667	OTHER		PK

General Provider Information

NPI Number	:	1922173509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VN DISCOUNT PHARMACY

Provider Business Mailing Address
First Line	:	2216 NEW YORK AVE
Second Line	:	STE 202
City	:	ARLINGTON
State	:	TX
Zip	:	76010-0809
Country	:	US
Telephone Number	:	817-261-9889
Fax Number	:	817-277-7950

Provider Business Practice Location Address
First Line	:	2216 NEW YORK AVE
Second Line	:	STE 202
City	:	ARLINGTON
State	:	TX
Zip	:	76010-0809
Country	:	US
Telephone Number	:	817-261-9889
Fax Number	:	817-277-7950

Authorized Official
Title or Position	:	PIC
Name	:	HIEU NGUYEN
Credential	:
Telephone Number	:	817-261-9889

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	02/22/2017

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Directions to “VN DISCOUNT PHARMACY ” Practice Location

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