MEDICARE: LINDA 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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PH61180319	WA

General Provider Information

NPI Number	:	1932838190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA NGUYEN PHARMD

Provider Business Mailing Address
First Line	:	801 AUBURN WAY N
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002-4164
Country	:	US
Telephone Number	:	253-931-5583
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 AUBURN WAY N
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002-4164
Country	:	US
Telephone Number	:	253-931-5584
Fax Number	:

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

Provider Enumeration Date	:	06/05/2022
Last Update Date	:	06/07/2026

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