Most Relevant Information
Provider Data
| NPI Number: | 1003018433 |
| Provider Name: | TAMMIE NGOC TU NGUYEN PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 53661 |
Most Important Dates
| Enumeration Date: | 06/05/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1205 E NORTH ST
MANTECA
CA
953364932
Practice Location Phone/Fax
| Phone: | 2092398381 |
| Fax: |
Provider Mailing Location
8882 HILDRETH LN
STOCKTON
CA
952129428
Provider Mailing Phone/Fax
| Phone: | 2094739508 |
| Fax: |