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NPI Code Detail

MEDICARE: THUY THU NGUYEN PHARMD

MEDICARE: THUY THU 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
1183500000XPharmacistS016614AZ

General Provider Information

NPI Number : 1063742278
Entity Type Code : Individual
Provider Name (Legal Business Name) : THUY THU NGUYEN PHARMD
Provider Business Mailing Address
First Line : 975 E OCOTILLO RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85249-3013
Country : US
Telephone Number : 480-214-1365
Fax Number : 480-214-1370
Provider Business Practice Location Address
First Line : 975 E OCOTILLO RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85249-3013
Country : US
Telephone Number : 480-214-1365
Fax Number : 480-214-1370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2010
Last Update Date : 01/11/2010

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