Individual
DR. CHI LIEU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
RPH46977
CA
3336C0003X
Community/Retail Pharmacy
Primary
51051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502451
—
CA
01
—
680366467
FEDERAL STATE ID
CA
01
—
PHA441890
MEDI-CAL NUMBER
CA
Enumeration date
01/17/2007
Last updated
06/20/2022
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