Individual
THI PHUONG KHANH DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 STATE ST, NEW ALBANY, IN 47150-4921
(812) 945-0535
Mailing address
2015 STATE ST, NEW ALBANY, IN 47150-4921
(812) 945-0535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028885A
IN
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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