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NPI Code Detail

MEDICARE: LINH NGUYEN R.RPH

MEDICARE: LINH NGUYEN R.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
1183500000XPharmacist52154TX

General Provider Information

NPI Number : 1790316578
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINH NGUYEN R.RPH
Provider Business Mailing Address
First Line : 11701 S SAM HOUSTON PKWY E
Second Line :
City : HOUSTON
State : TX
Zip : 77089-4782
Country : US
Telephone Number : 281-484-3294
Fax Number : 281-484-3823
Provider Business Practice Location Address
First Line : 11701 S SAM HOUSTON PKWY E
Second Line :
City : HOUSTON
State : TX
Zip : 77089-4782
Country : US
Telephone Number : 281-484-3294
Fax Number : 281-484-3823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2020
Last Update Date : 01/30/2020

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