Most Relevant Information
Provider Data
| NPI Number: | 1003803008 |
| Provider Name: | NGUYET MINH BANH PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 54980 |
Most Important Dates
| Enumeration Date: | 10/04/2005 |
| Last Updated: | 02/02/2017 |
Provider Practice Location
3900 ALAMO ST
SIMI VALLEY
CA
930632111
Practice Location Phone/Fax
| Phone: | 8055823006 |
| Fax: |
Provider Mailing Location
7268 ELMSBURY LN
WEST HILLS
CA
913073828
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |