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NPI Code Detail

MEDICARE: MS. NGOC CHI THI NGUYEN RPH

MEDICARE: MS. NGOC CHI THI 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
1183500000XPharmacist117879MN

General Provider Information

NPI Number : 1992088777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NGOC CHI THI NGUYEN RPH
Provider Business Mailing Address
First Line : 985 GENEVA AVE N
Second Line :
City : OAKDALE
State : MN
Zip : 55128-7409
Country : US
Telephone Number : 651-731-8480
Fax Number : 651-731-0522
Provider Business Practice Location Address
First Line : 985 GENEVA AVE N
Second Line :
City : OAKDALE
State : MN
Zip : 55128-7409
Country : US
Telephone Number : 651-731-8480
Fax Number : 651-731-0522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2011
Last Update Date : 09/28/2011

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