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NPI Code Detail

MEDICARE: MINH T NGUYEN PHARMD

MEDICARE: MINH T NGUYEN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist53513TX

General Provider Information

NPI Number : 1013519297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINH T NGUYEN PHARMD
Provider Business Mailing Address
First Line : PO BOX 682
Second Line :
City : EULESS
State : TX
Zip : 76039-0682
Country : US
Telephone Number : 860-777-7771
Fax Number :
Provider Business Practice Location Address
First Line : 7075 W WHEATLAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75249-1067
Country : US
Telephone Number : 469-608-6233
Fax Number : 469-608-6237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2020
Last Update Date : 11/12/2020

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Directions to “ MINH T NGUYEN PHARMD” Practice Location

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