Individual
DUNG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26852 HIGHWAY 23, PORT SULPHUR, LA 70083-2508
(504) 715-2197
Mailing address
26852 HIGHWAY 23, PORT SULPHUR, LA 70083-2508
(504) 715-2197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019472
LA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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