Organization
TAM HOANG NGUYEN
Active
Other names
MAI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TAM HOANG NGUYEN (RPH OWNER)
(916) 393-5961
Entity
Organization
Contact information
Practice address
7240 E SOUTHGATE DR, SUITE # A, SACRAMENTO, CA 95823-2627
(916) 393-5961
Mailing address
7240 E SOUTHGATE DR, SUITE # A, SACRAMENTO, CA 95823-2627
(916) 393-5961
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-37843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA378430
—
CA
Enumeration date
01/23/2008
Last updated
06/19/2008
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