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Mai Thanh Nguyen

NPI Registration Record

Provider / OrganizationNPIDate Certified
MAI THANH NGUYEN18711977492020-11-22

Mai Thanh Nguyen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1871197749. Registration indicates Mai Thanh Nguyen is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)

Entity TypeIndividual
Provider Name Mai Thanh Nguyen PHARM D.
Practice Office Address11003 LEE HWY
FAIRFAX, VA US
Practice Office Telephone5714325801
Practice Office Fax5714325807
Mailing Address4711 LOGWOOD LN
CHANTILLY, VA 201512459 US
Business Telephone7032170674
HPT Codes
CodePractice
License No
State
183500000X PRIMARY
Pharmacy Service Providers
Pharmacist
Pharmacist

Pharmacist
Pharmacy Service Providers
0202204856
VA
193200000X MULTGroup Code
OPI Codes

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