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NPI Code Detail

MEDICARE: MRS. MY DANG RPH

MEDICARE: MRS. MY DANG 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
1183500000XPharmacist15550NV

General Provider Information

NPI Number : 1861092173
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MY DANG RPH
Provider Business Mailing Address
First Line : 10065 GOLER WASH CT
Second Line :
City : RENO
State : NV
Zip : 89521-3029
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 155 DAMONTE RANCH PKWY
Second Line :
City : RENO
State : NV
Zip : 89521-2990
Country : US
Telephone Number : 775-853-6406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2020
Last Update Date : 10/27/2020

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Directions to “ MRS. MY DANG RPH” Practice Location

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