MEDICARE: TRUONG NGO DO 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
1	183500000X	Pharmacist	67340	TX

General Provider Information

NPI Number	:	1114504974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRUONG NGO DO PHARMD

Provider Business Mailing Address
First Line	:	9440 BELLAIRE BLVD STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4558
Country	:	US
Telephone Number	:	832-849-1660
Fax Number	:	832-831-6049

Provider Business Practice Location Address
First Line	:	9440 BELLAIRE BLVD STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4558
Country	:	US
Telephone Number	:	832-849-1660
Fax Number	:	832-831-6049

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

Provider Enumeration Date	:	03/26/2021
Last Update Date	:	03/26/2021

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Directions to “ TRUONG NGO DO PHARMD” Practice Location

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