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NPI Code Detail

MEDICARE: HYDEE NGUYEN PHARMD

MEDICARE:   HYDEE  NGUYEN  PHARMD
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
1183500000XPharmacist88484CA

General Provider Information

NPI Number : 1790563823
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYDEE NGUYEN PHARMD
Provider Business Mailing Address
First Line : 5450 DEWEY DR
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-3138
Country : US
Telephone Number : 916-904-5360
Fax Number :
Provider Business Practice Location Address
First Line : 1850 PRAIRIE CITY RD
Second Line :
City : FOLSOM
State : CA
Zip : 95630-9518
Country : US
Telephone Number : 916-608-2455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2023
Last Update Date : 07/15/2025

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Directions to “ HYDEE NGUYEN PHARMD” Practice Location

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