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Contact Information

JACK NGUYEN
72253 TWENTYNINE PALMS HIGHWAY
TWENTYNINE PALMS, CA92277
 Phone: 760-367-3262
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JACK NGUYEN · (Male)

NPI Number 1083011209
Status Active
Credentials
Entity Individual
Enumeration date 12/03/2014
Last updated 12/03/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 72039
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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