Nguyen, Thao Phuong
Nguyen, Thao Phuong is an individual health care provider with primary practice located at 16491 Lakeshore Dr , Lake Elsinore CA 92530. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Nguyen, Thao Phuong can be contacted via phone (951) 674-0309.Contact Information
Primary practice address
16491 Lakeshore Dr
Lake Elsinore CA 92530
Phone: (951) 674-0309
Fax: (951) 674-0419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 60190 | California |
Profile Details
| NPI number | 1174781991 |
|---|---|
| LBN Legal business name | Nguyen, Thao Phuong |
| Credentials | PHARM D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2008 |
| Last updated | May 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174781991 | NPPES |
| California | Other | 183500000X | PHARMACIST |
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