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Individual

BICHTRAM THI NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
9514 63RD AVE, REGO PARK, NY 11374
(718) 896-5084
(718) 896-1898
Mailing address
5810 187TH ST, FRESH MEADOWS, NY 11365-2229
(718) 357-8945
(718) 357-8945

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047334
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0156245
NY
Enumeration date
12/31/2007
Last updated
12/31/2007
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