Healthcare Provider Details

I. General information

NPI: 1548802408
Provider Name (Legal Business Name): BINH THANH NGUYEN PHARM.D., BCPS, BCOP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2019
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 TRUXTUN AVE
BAKERSFIELD CA
93309-0633
US

IV. Provider business mailing address

6501 TRUXTUN AVE
BAKERSFIELD CA
93309-0633
US

V. Phone/Fax

Practice location:
  • Phone: 661-862-7159
  • Fax:
Mailing address:
  • Phone: 661-862-7159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number57182
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: