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NPI Code Detail

MEDICARE: SON THIEN NGUYEN PHARM. D

MEDICARE: SON THIEN NGUYEN 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
1183500000XPharmacistPST.021719LA

General Provider Information

NPI Number : 1205383007
Entity Type Code : Individual
Provider Name (Legal Business Name) : SON THIEN NGUYEN PHARM. D
Provider Business Mailing Address
First Line : 423 HARDWICK DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70815-7261
Country : US
Telephone Number : 225-284-0120
Fax Number :
Provider Business Practice Location Address
First Line : 101 FLORIDA AVE SE
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-3735
Country : US
Telephone Number : 225-667-0069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2016
Last Update Date : 09/12/2016

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