MEDICARE: CATHY DUONG 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	58983	TX

General Provider Information

NPI Number	:	1295487981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY DUONG PHARMD

Provider Business Mailing Address
First Line	:	9601 N BEACH ST STE 105
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-6432
Country	:	US
Telephone Number	:	918-766-4642
Fax Number	:

Provider Business Practice Location Address
First Line	:	9601 N BEACH ST STE 105
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-6432
Country	:	US
Telephone Number	:	918-766-4642
Fax Number	:

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

Provider Enumeration Date	:	01/24/2022
Last Update Date	:	01/24/2022

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Directions to “ CATHY DUONG PHARMD” Practice Location

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