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NPI Code Detail

MEDICARE: MRS. PATTY PHUONG NGUYEN RPH

MEDICARE:  MRS. PATTY PHUONG NGUYEN  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
1183500000XPharmacist52685CA

General Provider Information

NPI Number : 1760825129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATTY PHUONG NGUYEN RPH
Provider Business Mailing Address
First Line : PO BOX 6525
Second Line :
City : SALINAS
State : CA
Zip : 93912-6525
Country : US
Telephone Number : 408-952-9252
Fax Number :
Provider Business Practice Location Address
First Line : 875 WINIFRED DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95122-3345
Country : US
Telephone Number : 408-952-9252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2013
Last Update Date : 04/16/2013

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Directions to “ MRS. PATTY PHUONG NGUYEN RPH” Practice Location

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