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Individual
THANH NGUYEN
Active
Individual
THANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60925829
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
10/17/2018
Last updated
07/24/2020
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