Dr. Jimmy Quoc Nam Nguyen
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Indian Wells, CA. Individual provider (NPI-1).
NPI number1982251534
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1982251534
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jimmy Quoc Nam Nguyen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2019
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 80274 | CA | Yes |
Practice location
74955 Us Highway 111Indian Wells, CA 92210-7136
Phone 760-346-4464
Mailing address
74955 Us Highway 111Indian Wells, CA 92210-7136
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