Organization
PHUONG H DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRISSIE DIEM NGUYEN R.PH. (PHARMACY MANAGER)
(215) 755-5100
Entity
Organization
Contact information
Practice address
600 WASHINGTON AVE, UNIT# 18E, PHILADELPHIA, PA 19147-4836
(215) 755-5100
(215) 755-1055
Mailing address
600 WASHINGTON AVE, UNIT# 18E, PHILADELPHIA, PA 19147-4836
(215) 755-5100
(215) 755-1055
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PP481360
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009941610001
—
PA
Enumeration date
09/22/2006
Last updated
05/01/2009
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