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NPI Code Detail

MEDICARE: NICK NHUT NGUYEN PHARMD

MEDICARE: NICK NHUT 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
1183500000XPharmacist83431CA

General Provider Information

NPI Number : 1104433812
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICK NHUT NGUYEN PHARMD
Provider Business Mailing Address
First Line : 10691 BALLAST AVE
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92843-5308
Country : US
Telephone Number : 714-333-8271
Fax Number :
Provider Business Practice Location Address
First Line : 701 RIO RANCHO RD
Second Line :
City : POMONA
State : CA
Zip : 91766-7018
Country : US
Telephone Number : 909-634-3152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2020
Last Update Date : 09/26/2020

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Directions to “ NICK NHUT NGUYEN PHARMD” Practice Location

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