MEDICARE: DR. JACQUELINE NGUYEN 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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	16843	CO

General Provider Information

NPI Number	:	1467621318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACQUELINE NGUYEN PHARMD

Provider Business Mailing Address
First Line	:	500 E BROMLEY LN
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-5505
Country	:	US
Telephone Number	:	303-655-7773
Fax Number	:	303-655-0003

Provider Business Practice Location Address
First Line	:	500 E BROMLEY LN
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-5505
Country	:	US
Telephone Number	:	303-655-7773
Fax Number	:	303-655-0003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	06/02/2026

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