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NPI Code Detail

MEDICARE: MISS CHLOE PHUONG NGUYEN RPH

MEDICARE: MISS CHLOE PHUONG 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
1183500000XPharmacist8736136UT

General Provider Information

NPI Number : 1952015166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CHLOE PHUONG NGUYEN RPH
Provider Business Mailing Address
First Line : 1123 W ONTARIO DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84104-2029
Country : US
Telephone Number : 385-549-4939
Fax Number :
Provider Business Practice Location Address
First Line : 1269 E 2100 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2824
Country : US
Telephone Number : 801-486-0695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2023
Last Update Date : 01/11/2023

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Directions to “ MISS CHLOE PHUONG NGUYEN RPH” Practice Location

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