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NPI Code Detail

MEDICARE: MRS. YOUNG THI-MY NGUYEN

MEDICARE: MRS. YOUNG THI-MY 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
1183500000XPharmacist34842TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
134842OTHERTXPHARMACY LICENSE

General Provider Information

NPI Number : 1629072616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YOUNG THI-MY NGUYEN
Provider Business Mailing Address
First Line : 3201 THORNE HILL CT
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-3763
Country : US
Telephone Number : 972-889-0241
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 : 972-792-5228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 02/19/2019

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Directions to “ MRS. YOUNG THI-MY NGUYEN ” Practice Location

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