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NPI Code Detail

MEDICARE: TAMMY THAO NGUYEN PHARMD

MEDICARE:   TAMMY THAO 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
1183500000XPharmacist80971CA

General Provider Information

NPI Number : 1285271353
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY THAO NGUYEN PHARMD
Provider Business Mailing Address
First Line : 4059 VISTA GRANDE DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-6816
Country : US
Telephone Number : 619-287-1206
Fax Number : 619-287-8975
Provider Business Practice Location Address
First Line : 4776 EL CAJON BLVD STE 105
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-4521
Country : US
Telephone Number : 619-278-1207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2019
Last Update Date : 10/23/2025

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Directions to “ TAMMY THAO NGUYEN PHARMD” Practice Location

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