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NPI Code Detail

MEDICARE: DR. CAM QUYEN NGUYEN PHARM.D

MEDICARE: DR. CAM QUYEN NGUYEN PHARM.D
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
1183500000XPharmacist77805CA

General Provider Information

NPI Number : 1619484292
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAM QUYEN NGUYEN PHARM.D
Provider Business Mailing Address
First Line : 1300 E CAMPBELL RD
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-1937
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 E CAMPBELL RD
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-1937
Country : US
Telephone Number : 800-294-5979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2018
Last Update Date : 02/26/2026

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