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NPI Code Detail

MEDICARE: MY-HUE THI DUONG PHARMD

MEDICARE: MY-HUE THI 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
1183500000XPharmacist59098TX

General Provider Information

NPI Number : 1366043358
Entity Type Code : Individual
Provider Name (Legal Business Name) : MY-HUE THI DUONG PHARMD
Provider Business Mailing Address
First Line : 3311 ANDERWOOD ARBOR LN
Second Line :
City : PEARLAND
State : TX
Zip : 77584-4221
Country : US
Telephone Number : 832-696-9672
Fax Number :
Provider Business Practice Location Address
First Line : 15800 SOUTH FWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-1834
Country : US
Telephone Number : 713-986-0087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2020
Last Update Date : 11/05/2020

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