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NPI Code Detail

MEDICARE: KATHY NGUYEN KHUU PHARMD

MEDICARE: KATHY NGUYEN KHUU 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
1183500000XPharmacist77989CA

General Provider Information

NPI Number : 1417434267
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY NGUYEN KHUU PHARMD
Provider Business Mailing Address
First Line : 1763 SANTA RITA RD
Second Line :
City : PLEASANTON
State : CA
Zip : 94566-5657
Country : US
Telephone Number : 925-426-1562
Fax Number :
Provider Business Practice Location Address
First Line : 1763 SANTA RITA RD
Second Line :
City : PLEASANTON
State : CA
Zip : 94566-5657
Country : US
Telephone Number : 925-426-1562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2018
Last Update Date : 07/24/2018

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