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NPI Code Detail

MEDICARE: DR. TAMMY A NGUYEN PHARM.D.

MEDICARE: DR. TAMMY A 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
1183500000XPharmacistPH37077GA

General Provider Information

NPI Number : 1427588102
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAMMY A NGUYEN PHARM.D.
Provider Business Mailing Address
First Line : 1502 BENTON BLVD APT 18102
Second Line :
City : SAVANNAH
State : GA
Zip : 31407-5159
Country : US
Telephone Number : 678-350-8595
Fax Number :
Provider Business Practice Location Address
First Line : 125 TOWNE DR
Second Line :
City : BLUFFTON
State : SC
Zip : 29910-4203
Country : US
Telephone Number : 843-815-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 06/15/2017

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