Most Relevant Information
Provider Data
| NPI Number: | 1003223256 |
| Provider Name: | JOHNNY QUOC NGUYEN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 70015 |
Most Important Dates
| Enumeration Date: | 07/21/2014 |
| Last Updated: | 07/21/2014 |
Provider Practice Location
7015 N WEST AVE
FRESNO
CA
937110461
Practice Location Phone/Fax
| Phone: | 5594401404 |
| Fax: | 5594401407 |
Provider Mailing Location
5048 N RENDEZVOUS WAY
CLOVIS
CA
93619
Provider Mailing Phone/Fax
| Phone: | 7143529926 |
| Fax: |