Individual
DR. KIM VO THIEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1312 MANCHESTER RD, GLASTONBURY, CT 06033-1824
(650) 283-4879
Mailing address
1312 MANCHESTER RD, GLASTONBURY, CT 06033-1824
(650) 283-4879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015363
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT.0015363
PHARMACIST LICENSE
CT
Enumeration date
11/11/2020
Last updated
11/11/2020
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