Most Relevant Information
Provider Data
| NPI Number: | 1003417122 |
| Provider Name: | THU TRANG THI NGUYEN RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26878 |
Most Important Dates
| Enumeration Date: | 11/04/2020 |
| Last Updated: | 11/04/2020 |
Provider Practice Location
8941 OX RD
LORTON
VA
220793218
Practice Location Phone/Fax
| Phone: | 7036905001 |
| Fax: |
Provider Mailing Location
2706 ELSMORE ST
FAIRFAX
VA
220311409
Provider Mailing Phone/Fax
| Phone: | 7037270909 |
| Fax: |