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NPI Code Detail

MEDICARE: DAI NGUYEN I PHARM D

MEDICARE: DAI NGUYEN I 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
1183500000XPharmacist18143MD

General Provider Information

NPI Number : 1770992687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAI NGUYEN I PHARM D
Provider Business Mailing Address
First Line : 5417 JACKS CT
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-3705
Country : US
Telephone Number : 410-660-1266
Fax Number : 410-721-6325
Provider Business Practice Location Address
First Line : 2003 DAVIDSONVILLE RD
Second Line :
City : CROFTON
State : MD
Zip : 21114-1317
Country : US
Telephone Number : 410-721-3762
Fax Number : 410-721-6325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2014
Last Update Date : 08/05/2014

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Directions to “ DAI NGUYEN I PHARM D” Practice Location

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