MEDICARE: SYLVIA 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	71546	CA

General Provider Information

NPI Number	:	1275930067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA NGUYEN PHARMD.

Provider Business Mailing Address
First Line	:	3926 W 184TH ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90504-4810
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 GILMAN ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94710-1532
Country	:	US
Telephone Number	:	510-528-8274
Fax Number	:

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

Provider Enumeration Date	:	11/23/2014
Last Update Date	:	11/23/2014

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Directions to “ SYLVIA NGUYEN PHARMD.” Practice Location

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