Healthcare Provider Details

I. General information

NPI: 1184989733
Provider Name (Legal Business Name): MINH NGUYEN NGUYEN PHARM. D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2012
Last Update Date: 07/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9433 VAL DI CHIANA DR
BAKERSFIELD CA
93314-9818
US

IV. Provider business mailing address

9433 VAL DI CHIANA DR
BAKERSFIELD CA
93314-9818
US

V. Phone/Fax

Practice location:
  • Phone: 661-758-8400
  • Fax: 661-758-7085
Mailing address:
  • Phone: 661-758-8400
  • Fax: 661-758-7085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number59370
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: