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NPI Code Detail

MEDICARE: ANH NGUYEN

MEDICARE: ANH NGUYEN
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
1183500000XPharmacist055697NY

General Provider Information

NPI Number : 1548542202
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANH NGUYEN
Provider Business Mailing Address
First Line : 1371 METROPOLITAN AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-7403
Country : US
Telephone Number : 718-597-7690
Fax Number :
Provider Business Practice Location Address
First Line : 1371 METROPOLITAN AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-7403
Country : US
Telephone Number : 718-597-7690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2011
Last Update Date : 06/05/2014

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Directions to “ ANH NGUYEN ” Practice Location

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