MEDICARE: NHUNG 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	24038	TX

General Provider Information

NPI Number	:	1609473388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NHUNG NGUYEN RPH

Provider Business Mailing Address
First Line	:	1937 TEXOMA DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-3296
Country	:	US
Telephone Number	:	512-466-3092
Fax Number	:

Provider Business Practice Location Address
First Line	:	3569 FAR WEST BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-3064
Country	:	US
Telephone Number	:	512-345-2570
Fax Number	:

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

Provider Enumeration Date	:	10/06/2020
Last Update Date	:	10/06/2020

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Directions to “ NHUNG NGUYEN RPH” Practice Location

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