Healthcare Provider Details

I. General information

NPI: 1548519846
Provider Name (Legal Business Name): ANNE VU NGUYEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2012
Last Update Date: 02/04/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

H100 SANTA MARGARITA ROAD NAVAL HOSPITAL CAMP PENDLETON
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

200 MERCY CIRCLE
CAMP PENDLETON CA
92055-1439
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-1489
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62958
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: