Individual ProviderKim NguyenPharmacistPharmacy Service ProvidersPractice Address3860 International Dr, Silver Spring, MD 20906-1548(301) 598-3208PECOS EnrollmentBased on the most recent information from CMS, provider Kim Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1598368813Provider TypeIndividualFull NameNguyen, KimGenderFemaleSole ProprietorYesEnumeration Date11/19/2020Last Updated11/19/2020Contact InformationPractice LocationPractice Address3860 International Dr, Silver Spring, MD 20906-1548Phone(301) 598-3208FaxUnlisted FaxMailing LocationMailing Address3860 International Dr, Silver Spring, MD 20906-1548Phone(301) 598-3208FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense26627Maryland