MEDICARE: NGUYEN-CRAIG PHARMACY LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1578279659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NGUYEN-CRAIG PHARMACY LLC

Provider Business Mailing Address
First Line	:	2402 DOLAN LAKE DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-2156
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6840 HIGHWAY 6 STE B
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3850
Country	:	US
Telephone Number	:	281-969-7211
Fax Number	:	281-969-8806

Authorized Official
Title or Position	:	PHARMACIST-IN-CHARGE / OWNER
Name	:	ANN NGUYEN
Credential	:
Telephone Number	:	281-221-5698

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	01/23/2023

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