Individual provider · Type 1 NPI

Jack Nguyen

Pharmacist · Twentynine Palms, CA

NPI number 1083011209 Active

Practice location

72253 Twentynine Palms Highway
Twentynine Palms, CA 92277

Call (760) 367-3262 Map

Mailing address

1145 Sturgis Road, Pharmacy
Twentynine Palms, CA 92278-8275

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X72039 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

5 other providers at this address

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About NPI 1083011209

Jack Nguyen's National Provider Identifier is 1083011209, issued on Dec 3, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Twentynine Palms, CA. The record was last updated on Jul 13, 2026.