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NPI Code Detail

MEDICARE: KHANH DAM NGUYEN PHARMD

MEDICARE:   KHANH DAM 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
11835P2201XAmbulatory Care Pharmacist76655CA

General Provider Information

NPI Number : 1679052229
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHANH DAM NGUYEN PHARMD
Provider Business Mailing Address
First Line : 9372 MARIUS WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95829-6113
Country : US
Telephone Number : 169-288-5332
Fax Number :
Provider Business Practice Location Address
First Line : 3651 BUSINESS DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820
Country : US
Telephone Number : 169-288-5332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2018
Last Update Date : 08/18/2018

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Directions to “ KHANH DAM NGUYEN PHARMD” Practice Location

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