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NPI Code Detail

MEDICARE: TRINH NGOC LUU

MEDICARE:   TRINH NGOC LUU
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
1183500000XPharmacist16351NV

General Provider Information

NPI Number : 1700454097
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINH NGOC LUU
Provider Business Mailing Address
First Line : 6820 W ANN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1113
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6820 W ANN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1113
Country : US
Telephone Number : 702-645-4106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2021
Last Update Date : 06/14/2021

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Directions to “ TRINH NGOC LUU ” Practice Location

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