Individual
MRS. AUDREY GYUNG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6308
(208) 706-1523
(208) 706-1543
Mailing address
3882 W TETER ST, MERIDIAN, ID 83642-3976
(208) 409-0912
(208) 706-1543
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
P5928
ID
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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