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NPI Code Detail

MEDICARE: ANDREW NGUYEN PHARMD

MEDICARE:   ANDREW  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
1183500000XPharmacistRP451273PA

General Provider Information

NPI Number : 1194264085
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW NGUYEN PHARMD
Provider Business Mailing Address
First Line : 15314 SAN SIMON LN
Second Line :
City : LA MIRADA
State : CA
Zip : 90638-4727
Country : US
Telephone Number : 714-603-6057
Fax Number :
Provider Business Practice Location Address
First Line : 1227 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-5414
Country : US
Telephone Number : 215-772-2772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2017
Last Update Date : 03/17/2021

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