Hieu Thi Thanh Nguyen Boulom, PHARMACIST is a
Pharmacist based in Watsonview, California. Hieu Thi Thanh Nguyen Boulom is licensed to practice in California (license number 77146) and her current practice location is
2810 Freedom Blvd, Watsonview, California. She can be reached at her office (for appointments etc.) via phone at
(831) 766-0183.
NPI number for Hieu Thi Thanh Nguyen Boulom is 1811403603 and her current mailing address is 1810 Freedom Blvd, Watsonview, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811403603.
Healthcare Provider's Profile
Full Name | Hieu Thi Thanh Nguyen Boulom |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 2810 Freedom Blvd, Watsonview, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811403603
- Provider Enumeration Date: 12/16/2017
- Last Update Date: 01/02/2018
Medical Identifiers
Medical identifiers for Hieu Thi Thanh Nguyen Boulom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811403603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 77146 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hieu Thi Thanh Nguyen Boulom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Hieu Thi Thanh Nguyen Boulom, PHARMACIST 1810 Freedom Blvd, Watsonview, CA 95076 Ph: (831) 766-0183 | Hieu Thi Thanh Nguyen Boulom, PHARMACIST 2810 Freedom Blvd, Watsonview, CA 95076 Ph: (831) 766-0183 |
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