MEDICARE: MS. SHIRLEY VIEN-VUONG PHARM D.

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	60503	CA

General Provider Information

NPI Number	:	1063956530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHIRLEY VIEN-VUONG PHARM D.

Provider Business Mailing Address
First Line	:	11574 LOWER AZUSA RD
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-1333
Country	:	US
Telephone Number	:	626-350-3550
Fax Number	:	626-350-3557

Provider Business Practice Location Address
First Line	:	11574 LOWER AZUSA RD
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-1333
Country	:	US
Telephone Number	:	626-350-3550
Fax Number	:	626-350-3557

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

Provider Enumeration Date	:	12/18/2016
Last Update Date	:	12/18/2016

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Directions to “ MS. SHIRLEY VIEN-VUONG PHARM D.” Practice Location

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