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NPI Code Detail

MEDICARE: MINH DONG

MEDICARE: MINH DONG
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
13336I0012XInstitutional PharmacyTN

General Provider Information

NPI Number : 1942137310
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINH DONG
Provider Business Mailing Address
First Line : 9 FAWNWOOD CV
Second Line :
City : JACKSON
State : TN
Zip : 38305-6463
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 620 SKYLINE DR
Second Line :
City : JACKSON
State : TN
Zip : 38301-3923
Country : US
Telephone Number : 731-541-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ MINH DONG ” Practice Location

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