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NPI Code Detail

MEDICARE: LUUNAM THI NGUYEN RPH

MEDICARE: LUUNAM THI NGUYEN RPH
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
1183500000XPharmacistRPH56543CA

General Provider Information

NPI Number : 1306127592
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUUNAM THI NGUYEN RPH
Provider Business Mailing Address
First Line : 8702 BEAU MAISON WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93311-1594
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9550 HAGEMAN RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-3956
Country : US
Telephone Number : 661-587-0838
Fax Number : 661-587-5162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 09/01/2011

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Directions to “ LUUNAM THI NGUYEN RPH” Practice Location

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