Bo K Nguyen, PHARMD
Individual provider Active NPI Pharmacist · Callahan, FL
NPI 1245832161 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1245832161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS47992 (FL)
- Practice address
- 542325 US Highway 1
Callahan, FL 32011-6496 - Phone
- (904) 879-4233
- NPI assigned
- Nov 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS47992 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS47992 | FL | Yes |
Addresses
Primary practice location
542325 US Highway 1
Callahan, FL 32011-6496
Mailing address
542325 US Highway 1
Callahan, FL 32011-6496
Phone (904) 879-4233
Other providers in Callahan, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.