MEDICARE: DR. ANH-TU DINH 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
1	183500000X	Pharmacist	RPH54663	CA

General Provider Information

NPI Number	:	1235227372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANH-TU DINH NGUYEN PHARMD

Provider Business Mailing Address
First Line	:	1776 DOVER CIR
Second Line	:
City	:	SUISUN CITY
State	:	CA
Zip	:	94585-6327
Country	:	US
Telephone Number	:	626-235-9932
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 DOVER CIR
Second Line	:
City	:	SUISUN CITY
State	:	CA
Zip	:	94585-6327
Country	:	US
Telephone Number	:	626-235-9932
Fax Number	:

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	01/03/2022

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