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NPI Code Detail

MEDICARE: NGOC DUYEN KIM NGUYEN PHARMD

MEDICARE: NGOC DUYEN KIM 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
1183500000XPharmacist82671CA

General Provider Information

NPI Number : 1578160792
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGOC DUYEN KIM NGUYEN PHARMD
Provider Business Mailing Address
First Line : 535 WATSON DR
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-4817
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 535 WATSON DR
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-4817
Country : US
Telephone Number : 714-260-2784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2020
Last Update Date : 10/01/2020

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