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Mary Nguyen

Pharmacist in Philadelphia, PA. Individual provider (NPI-1).

NPI number1104736628
StatusActive
Last updated in NPPESSep 8, 2026

Details

NPI
1104736628
Entity type
Individual (NPI-1)
Name
Mary Nguyen
Sex
Female
Sole proprietor
No
Enumeration date
Sep 8, 2026
Certification date
Sep 8, 2026
Last updated
Sep 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRP042343YPAYes

Practice location

1500 E Erie Ave
Philadelphia, PA 19124-5642

Phone 215-289-9500 · Fax 215-289-9503

Mailing address

1500 E Erie Ave
Philadelphia, PA 19124-5642

Phone 215-289-9500 · Fax 215-289-9503

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