Nguyen, Tam Hoang

Nguyen, Tam Hoang is an sole proprietor health care provider with primary practice located at 7240 E Southgate Dr Suite # A, Sacramento CA 95823-2627. He recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Pharmacy Service Providers / Pharmacist. Suppliers / Community/Retail Pharmacy is his primary health care specialty. Nguyen, Tam Hoang can be contacted via phone (916) 393-5961.

Contact Information

Primary practice address
7240 E Southgate Dr Suite # A Sacramento CA 95823-2627
Phone: (916) 393-5961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHA378430 California
Pharmacy Service Providers / Pharmacist 183500000X RPH42362 California

Profile Details

NPI number 1447242516
LBN Legal business name Nguyen, Tam Hoang
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Jan 22nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447242516 NPPES
California MEDICAID PHA378430

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