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NPI Code Detail

MEDICARE: CHRISTY NGUYEN

MEDICARE:   CHRISTY  NGUYEN
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
1183500000XPharmacist16074NV

General Provider Information

NPI Number : 1952992372
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY NGUYEN
Provider Business Mailing Address
First Line : 2425 E DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3616
Country : US
Telephone Number : 702-734-0258
Fax Number :
Provider Business Practice Location Address
First Line : 2425 E DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3616
Country : US
Telephone Number : 702-734-0258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2021
Last Update Date : 01/28/2021

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Directions to “ CHRISTY NGUYEN ” Practice Location

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