Healthcare Provider Details

I. General information

NPI: 1669460804
Provider Name (Legal Business Name): JULIE LIENDINH NGUYEN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9008 GARVEY AVE STE A
ROSEMEAD CA
91770-3360
US

IV. Provider business mailing address

9008 GARVEY AVE STE A
ROSEMEAD CA
91770-3360
US

V. Phone/Fax

Practice location:
  • Phone: 626-280-7759
  • Fax: 626-280-8640
Mailing address:
  • Phone: 626-280-7759
  • Fax: 626-280-8640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH40949
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: