MEDICARE: DR. CHRISTINA ANGIE NGUYEN 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
1	183500000X	Pharmacist	0202214281	VA

General Provider Information

NPI Number	:	1659740090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA ANGIE NGUYEN PHARMD

Provider Business Mailing Address
First Line	:	3131 DUKE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4518
Country	:	US
Telephone Number	:	703-461-6199
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 DUKE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4518
Country	:	US
Telephone Number	:	703-461-6199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2015
Last Update Date	:	11/13/2020

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