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Phillip Nguyen

Pharmacist in Grass Valley, CA. Individual provider (NPI-1).

NPI number1043661838
StatusActive
Last updated in NPPESJun 23, 2016

Details

NPI
1043661838
Entity type
Individual (NPI-1)
Name
Phillip Nguyen
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 23, 2016
Last updated
Jun 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist73009CAYes

Practice location

321 S Church St
Grass Valley, CA 95945-6708

Phone 916-595-0558

Mailing address

321 S Church St
Grass Valley, CA 95945

Phone 916-595-0558

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