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NPI Code Detail

MEDICARE: NGAN T VO PHARM.D

MEDICARE:   NGAN T VO  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
1183500000XPharmacist65316TX

General Provider Information

NPI Number : 1972254712
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGAN T VO PHARM.D
Provider Business Mailing Address
First Line : 6101 WINDHAVEN PKWY STE 125
Second Line :
City : PLANO
State : TX
Zip : 75093-8290
Country : US
Telephone Number : 972-677-7891
Fax Number :
Provider Business Practice Location Address
First Line : 6101 WINDHAVEN PKWY STE 125
Second Line :
City : PLANO
State : TX
Zip : 75093-8290
Country : US
Telephone Number : 972-677-7981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2022
Last Update Date : 01/13/2022

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