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General NPI Number Information
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NPI Number | 1699767061
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Entity Type | Organization
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Legal Business Name | TIN PHAT PHARMACY INC
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 9081 BOLSA AVE # 108
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City | WESTMINSTER
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State | CA
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Zip | 92683-5509
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Country | US
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Telephone | 714-379-5072
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Fax | 714-379-5074
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Provider Business Mailing Address
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Address Line | 9081 BOLSA AVE # 108
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City | WESTMINSTER
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State | CA
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Zip | 92683-5509
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Country | US
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Telephone | 714-379-5072
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Fax | 714-379-5074
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Authorized Official
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Title or Position | PRESIDENT/ PHARMACIST IN CHARGE
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Name | MRS. VIVIAN TO-NGA NGUYEN
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Credential | PHARM D
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Telephone | 714-379-5072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | CA
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