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NPI Code Detail

MEDICARE: MS. THUY THI THU NGUYEN BS

MEDICARE: MS. THUY THI THU NGUYEN BS
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
1183500000XPharmacistPS37287FL

General Provider Information

NPI Number : 1174789804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. THUY THI THU NGUYEN BS
Provider Business Mailing Address
First Line : 5071 W OAKLAND PARK BLVD
Second Line : 112
City : LAUDERDALE LAKES
State : FL
Zip : 33313-7900
Country : US
Telephone Number : 407-860-0508
Fax Number :
Provider Business Practice Location Address
First Line : 5071 W OAKLAND PARK BLVD
Second Line : 112
City : LAUDERDALE LAKES
State : FL
Zip : 33313-7900
Country : US
Telephone Number : 407-860-0508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2008
Last Update Date : 08/01/2008

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