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NPI Code Detail

MEDICARE: AN NGUYEN

MEDICARE: AN 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
1183500000XPharmacist59229TX

General Provider Information

NPI Number : 1598377046
Entity Type Code : Individual
Provider Name (Legal Business Name) : AN NGUYEN
Provider Business Mailing Address
First Line : 2602 FORT WORTH AVE
Second Line :
City : DALLAS
State : TX
Zip : 75211-1746
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2602 FORT WORTH AVE
Second Line :
City : DALLAS
State : TX
Zip : 75211-1746
Country : US
Telephone Number : 214-941-0926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2020
Last Update Date : 08/17/2020

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Directions to “ AN NGUYEN ” Practice Location

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