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NPI Code Detail

MEDICARE: NHONS PHARMACY

MEDICARE: NHONS PHARMACY
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
1183500000XPharmacistPHY36010CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457566499
Entity Type Code : Organization
Provider Name (Legal Business Name) : NHONS PHARMACY
Provider Business Mailing Address
First Line : 1412 ROSEMARIE LN
Second Line : SUITE C
City : STOCKTON
State : CA
Zip : 95207-6970
Country : US
Telephone Number : 209-473-4277
Fax Number : 209-473-4278
Provider Business Practice Location Address
First Line : 1412 ROSEMARIE LN
Second Line : SUITE C
City : STOCKTON
State : CA
Zip : 95207-6970
Country : US
Telephone Number : 209-473-4277
Fax Number : 209-473-4278
Authorized Official
Title or Position : PHARMACIST/OWNER
Name : MR. NHON T VIEN
Credential : PHARMACIST
Telephone Number : 209-473-4277
Provider Enumeration Date : 05/12/2007
Last Update Date : 07/29/2008

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Directions to “NHONS PHARMACY ” Practice Location

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