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NPI Code Detail

MEDICARE: DR. MINH-TRI L DUONG PHARMD

MEDICARE: DR. MINH-TRI L DUONG PHARMD
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
11835P1200XPharmacotherapy PharmacistPS-32577FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS-32577OTHERFLPHARMACY LICENSE NUMBER

General Provider Information

NPI Number : 1649271982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MINH-TRI L DUONG PHARMD
Provider Business Mailing Address
First Line : 2925 W KNIGHTS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33611-1621
Country : US
Telephone Number : 813-844-4735
Fax Number : 813-844-4062
Provider Business Practice Location Address
First Line : 2 COLUMBIA DR
Second Line :
City : TAMPA
State : FL
Zip : 33606-3508
Country : US
Telephone Number : 813-844-4473
Fax Number : 813-844-4062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MINH-TRI L DUONG PHARMD” Practice Location

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