# LAN NGOC NGUYEN, PHARM.D.,,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** iMix Rx Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578974663
- **Authorized official:** MRS. LAN NGOC NGUYEN PHARMD (PHARMACIST)
- **Authorized official phone:** (817) 617-3460

## Contact information

- **Practice address:** 1102 ORCHARD DR., SUITE B, ARLINGTON, TX 76012
- **Practice address phone:** (817) 617-3460
- **Practice address fax:** (817) 617-3458
- **Mailing address:** 1102 ORCHARD DR, SUITE B, ARLINGTON, TX 76012
- **Mailing address phone:** (817) 617-3460
- **Mailing address fax:** (817) 617-3458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 29254 | TX | Yes |

## Other

- **Enumeration date:** 05/12/2014
- **Last updated:** 05/12/2014