Healthcare Provider Details

I. General information

NPI: 1003700378
Provider Name (Legal Business Name): DUNG THINGOC NGUYEN PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 LONE TREE WAY
ANTIOCH CA
94509
US

IV. Provider business mailing address

2213 TRINITY DRIVE
BRENTWOOD CA
94513
US

V. Phone/Fax

Practice location:
  • Phone: 925-779-7200
  • Fax: 925-779-7227
Mailing address:
  • Phone: 408-807-8690
  • Fax: 925-779-7227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number60108
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: