Individual
BRENT NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2409 CAMINO RAMON, SAN RAMON, CA 94583-4285
(800) 445-5747
Mailing address
43630 SOUTHERLAND WAY, FREMONT, CA 94539-5932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
78719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78719
REGISTERED PHARMACIST
CA
Enumeration date
09/10/2018
Last updated
09/10/2018
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