MEDICARE: THUAN VU 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
1	183500000X	Pharmacist	PH60379299	WA

General Provider Information

NPI Number	:	1912332909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THUAN VU NGUYEN RPH

Provider Business Mailing Address
First Line	:	6801 S 133RD ST APT A109
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98178-5098
Country	:	US
Telephone Number	:	206-265-3151
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 S 133RD ST APT A109
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98178-5098
Country	:	US
Telephone Number	:	206-265-3151
Fax Number	:

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

Provider Enumeration Date	:	09/09/2013
Last Update Date	:	09/09/2013

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