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NPI Code Detail

MEDICARE: ANTHONY QUANG NGUYEN RPH, PHARMD

MEDICARE: ANTHONY QUANG NGUYEN RPH, PHARMD
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
1183500000XPharmacist59445CA

General Provider Information

NPI Number : 1952814956
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY QUANG NGUYEN RPH, PHARMD
Provider Business Mailing Address
First Line : 19121 BEACH BLVD
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92648-2307
Country : US
Telephone Number : 714-848-1522
Fax Number : 714-847-7057
Provider Business Practice Location Address
First Line : 19121 BEACH BLVD
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92648-2307
Country : US
Telephone Number : 714-848-1522
Fax Number : 714-847-7057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2017
Last Update Date : 11/13/2017

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