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NPI Code Detail

MEDICARE: VENICE NGUYEN

MEDICARE: VENICE 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
1183500000XPharmacistS026314AZ

General Provider Information

NPI Number : 1881393957
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENICE NGUYEN
Provider Business Mailing Address
First Line : 3511 W PEORIA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4037
Country : US
Telephone Number : 602-866-5453
Fax Number :
Provider Business Practice Location Address
First Line : 3511 W PEORIA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4037
Country : US
Telephone Number : 602-866-5453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2023
Last Update Date : 02/28/2023

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Directions to “ VENICE NGUYEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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