MEDICARE: LILIANE TRUONG-NGUYEN RPH

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	03320283	OH

General Provider Information

NPI Number	:	1538581160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIANE TRUONG-NGUYEN RPH

Provider Business Mailing Address
First Line	:	5785 COOPER RD
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-8982
Country	:	US
Telephone Number	:	614-855-4910
Fax Number	:	614-855-4965

Provider Business Practice Location Address
First Line	:	5050 N HAMILTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1312
Country	:	US
Telephone Number	:	614-855-4910
Fax Number	:	614-855-4965

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

Provider Enumeration Date	:	01/16/2014
Last Update Date	:	01/16/2014

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Directions to “ LILIANE TRUONG-NGUYEN RPH” Practice Location

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