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NPI Code Detail

MEDICARE: HONG NGA THI LY RPH

MEDICARE: HONG NGA THI LY 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
1183500000XPharmacist37481TX

General Provider Information

NPI Number : 1659378024
Entity Type Code : Individual
Provider Name (Legal Business Name) : HONG NGA THI LY RPH
Provider Business Mailing Address
First Line : 5302 JACKWOOD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77096-1212
Country : US
Telephone Number : 713-665-4063
Fax Number : 713-236-7130
Provider Business Practice Location Address
First Line : 1615 N MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77009-8525
Country : US
Telephone Number : 713-236-7125
Fax Number : 713-236-7130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/08/2007

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Directions to “ HONG NGA THI LY RPH” Practice Location

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