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NPI Code Detail

MEDICARE: PHUONG-THI DANG PHARM.D.

MEDICARE:   PHUONG-THI  DANG  PHARM.D.
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
1183500000XPharmacist50320CA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist50320CA
31835P1200XPharmacotherapy Pharmacist50320CA

General Provider Information

NPI Number : 1750780573
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHUONG-THI DANG PHARM.D.
Provider Business Mailing Address
First Line : 2000 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8647
Country : US
Telephone Number : 714-543-8300
Fax Number :
Provider Business Practice Location Address
First Line : 2000 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8647
Country : US
Telephone Number : 714-543-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2014
Last Update Date : 08/18/2014

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Directions to “ PHUONG-THI DANG PHARM.D.” Practice Location

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