MEDICARE: CYNTHIA PHUONGNHI DAM PHARMD, RPH

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
1	183500000X	Pharmacist	91624	CA

General Provider Information

NPI Number	:	1033065784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA PHUONGNHI DAM PHARMD, RPH

Provider Business Mailing Address
First Line	:	1407 HEARTHSIDE DR
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-5796
Country	:	US
Telephone Number	:	714-553-7760
Fax Number	:

Provider Business Practice Location Address
First Line	:	29101 HOSPITAL RD
Second Line	:
City	:	LAKE ARROWHEAD
State	:	CA
Zip	:	92352-9706
Country	:	US
Telephone Number	:	909-336-3651
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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