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NPI Code Detail

MEDICARE: QUYNH-ANH THI NGUYEN PHARM.D.

MEDICARE: QUYNH-ANH THI NGUYEN PHARM.D.
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
1183500000XPharmacistPH00064584WA

General Provider Information

NPI Number : 1912935529
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUYNH-ANH THI NGUYEN PHARM.D.
Provider Business Mailing Address
First Line : 2801 1ST AVE
Second Line : #111
City : SEATTLE
State : WA
Zip : 98121-1129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9600 15TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2820
Country : US
Telephone Number : 206-763-2728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 07/13/2007

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Directions to “ QUYNH-ANH THI NGUYEN PHARM.D.” Practice Location

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