MEDICARE: NAMPHI HOANG 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
1	183500000X	Pharmacist	67357	TX

General Provider Information

NPI Number	:	1518559855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAMPHI HOANG NGUYEN PHARM.D.

Provider Business Mailing Address
First Line	:	8922 SHADY GREEN MDWS
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1706
Country	:	US
Telephone Number	:	832-475-2575
Fax Number	:

Provider Business Practice Location Address
First Line	:	6609 W SAM HOUSTON PKWY S STE 98B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1641
Country	:	US
Telephone Number	:	713-995-8885
Fax Number	:

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

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	02/08/2021

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