Organization
GISELE NGUYEN INC
Active
Organization
GISELE NGUYEN INC
Active
Other names
NATICO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GISELE NGUYEN PHARM D (PRESIDENT)
(714) 534-1020
Entity
Organization
Contact information
Practice address
10212 WESTMINSTER AVE, STE 109, GARDEN GROVE, CA 92843
(714) 534-1020
(714) 534-1024
Mailing address
10212 WESTMINSTER AVE, STE 109, GARDEN GROVE, CA 92843
(714) 534-1020
(714) 534-1024
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY 50299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0578560
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
PHY 50299
RETAIL PHARMACY PERMIT
CA
Enumeration date
09/02/2005
Last updated
04/27/2011
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