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NPI Code Detail

MEDICARE: MS. ANH TUYET THI NGUYEN RPH

MEDICARE: MS. ANH TUYET THI NGUYEN 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
1183500000XPharmacist18531CO

General Provider Information

NPI Number : 1861838864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANH TUYET THI NGUYEN RPH
Provider Business Mailing Address
First Line : 12167 SHERIDAN BLVD
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-2417
Country : US
Telephone Number : 303-439-0169
Fax Number : 303-466-0685
Provider Business Practice Location Address
First Line : 12167 SHERIDAN BLVD
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-2417
Country : US
Telephone Number : 303-439-0169
Fax Number : 303-466-0685
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2013
Last Update Date : 05/16/2013

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