MEDICARE: BANG NGUYEN RPH

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	35696	TX

General Provider Information

NPI Number	:	1982019246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BANG NGUYEN RPH

Provider Business Mailing Address
First Line	:	13314 AGARITA LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1904
Country	:	US
Telephone Number	:	832-316-5647
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 BINZ ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7016
Country	:	US
Telephone Number	:	832-316-5647
Fax Number	:

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

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	06/25/2014

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Directions to “ BANG NGUYEN RPH” Practice Location

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