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NPI Code Detail

MEDICARE: QUYNH NHU THI NGUYEN PHARMD

MEDICARE:   QUYNH NHU THI NGUYEN  PHARMD
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
1183500000XPharmacist75054CA

General Provider Information

NPI Number : 1912435769
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUYNH NHU THI NGUYEN PHARMD
Provider Business Mailing Address
First Line : 11 LEGACY CT
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-1079
Country : US
Telephone Number : 619-576-4710
Fax Number :
Provider Business Practice Location Address
First Line : 6199 SUNRISE BLVD
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-6834
Country : US
Telephone Number : 916-726-6802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2017
Last Update Date : 05/24/2017

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Directions to “ QUYNH NHU THI NGUYEN PHARMD” Practice Location

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