MEDICARE: COLLEEN NGUYEN 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
1	183500000X	Pharmacist	67877	TX

General Provider Information

NPI Number	:	1972233500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN NGUYEN PHARMD

Provider Business Mailing Address
First Line	:	8821 S SAM HOUSTON PKWY W
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-1495
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8821 S SAM HOUSTON PKWY W STE 100
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-1495
Country	:	US
Telephone Number	:	281-231-9171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	06/15/2022

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Directions to “ COLLEEN NGUYEN PHARMD” Practice Location

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