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NPI Code Detail

MEDICARE: NGUYEN LUU PHARMD

MEDICARE: NGUYEN LUU 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
1183500000XPharmacist44146TN

General Provider Information

NPI Number : 1477170207
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGUYEN LUU PHARMD
Provider Business Mailing Address
First Line : 761 CEDAR CREST DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-5309
Country : US
Telephone Number : 615-516-2227
Fax Number :
Provider Business Practice Location Address
First Line : 7604 HIGHWAY 70 S
Second Line :
City : NASHVILLE
State : TN
Zip : 37221-1852
Country : US
Telephone Number : 615-646-7310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2020
Last Update Date : 06/27/2020

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Directions to “ NGUYEN LUU PHARMD” Practice Location

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