NPI 1013508704

Phuong Dung Nguyen

Practitioner Pharmacist Reston, VA

Practice location

Address: 1890 Metro Center Dr, Reston, VA 20190-5222
Phone: (703) 709-1560
Fax: (703) 709-1645
Mailing address: 45594 Victoria Station Dr, Sterling, VA 20166-9242

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0202204822 (VA)

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Registry record

NPI: 1013508704
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2021
Record last updated: 27 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.