Individual
ELLIE PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5130 MCKENDALL PL, NEW ORLEANS, LA 70128-3403
(504) 715-6609
Mailing address
5130 MCKENDALL PL, NEW ORLEANS, LA 70128-3403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E12718
MS
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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