MEDICARE: MRS. HIEN T NGUYEN BS PHARMACY

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	RPH43385	CA
2	183700000X	Pharmacy Technician	TCH29450	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952308918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HIEN T NGUYEN BS PHARMACY

Provider Business Mailing Address
First Line	:	4242 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-1230
Country	:	US
Telephone Number	:	619-521-0013
Fax Number	:	619-521-1067

Provider Business Practice Location Address
First Line	:	4242 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-1230
Country	:	US
Telephone Number	:	619-521-0013
Fax Number	:	619-521-1067

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

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	09/11/2025

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