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NPI Code Detail

MEDICARE: CONNIE NGUYEN PHARM D.

MEDICARE: CONNIE NGUYEN PHARM D.
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
1183500000XPharmacist64204CA

General Provider Information

NPI Number : 1306219142
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE NGUYEN PHARM D.
Provider Business Mailing Address
First Line : 8601 S SEPULVEDA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-4001
Country : US
Telephone Number : 310-645-6770
Fax Number : 310-645-1052
Provider Business Practice Location Address
First Line : 8601 S SEPULVEDA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-4001
Country : US
Telephone Number : 310-645-6770
Fax Number : 310-645-1052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2015
Last Update Date : 11/02/2015

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Directions to “ CONNIE NGUYEN PHARM D.” Practice Location

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