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NPI Code Detail

MEDICARE: DUC NGUYEN

MEDICARE:   DUC  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
1183500000XPharmacist18576NV

General Provider Information

NPI Number : 1659085462
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUC NGUYEN
Provider Business Mailing Address
First Line : 1451 CENTER CROSSING RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-7047
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1451 CENTER CROSSING RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-7047
Country : US
Telephone Number : 702-530-9784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2023
Last Update Date : 01/06/2023

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Directions to “ DUC NGUYEN ” Practice Location

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