MEDICARE: TRINH DIEU NGUYEN

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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	S026753	AZ

General Provider Information

NPI Number	:	1831962158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRINH DIEU NGUYEN

Provider Business Mailing Address
First Line	:	3671 S ASHLEY PL
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85286-2618
Country	:	US
Telephone Number	:	520-250-2272
Fax Number	:

Provider Business Practice Location Address
First Line	:	6470 S HIGLEY RD
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85298-4333
Country	:	US
Telephone Number	:	480-654-9337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	06/22/2026

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Directions to “ TRINH DIEU NGUYEN ” Practice Location

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