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NPI Code Detail

MEDICARE: PHILIP NGUYEN

MEDICARE: PHILIP NGUYEN
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
1183500000XPharmacist57052TX

General Provider Information

NPI Number : 1225584485
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP NGUYEN
Provider Business Mailing Address
First Line : 3418 E SOUTHCROSS BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-1633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3418 E SOUTHCROSS BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-1633
Country : US
Telephone Number : 210-253-8114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2016
Last Update Date : 08/28/2016

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Directions to “ PHILIP NGUYEN ” Practice Location

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