Individual
DR. THERESA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
260 INTERNATIONAL CIR, SAN JOSE, CA 95119-1130
(408) 972-6474
Mailing address
260 INTERNATIONAL CIR, SAN JOSE, CA 95119-1130
(408) 972-6474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH 57674
CA
1835P2201X
Ambulatory Care Pharmacist
Primary
57674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH 57674
BOARD OF PHARMACY LICENSE
CA
Enumeration date
11/16/2006
Last updated
03/25/2024
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