Individual
JOHNATHAN DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1697 WHITNEY AVE, HAMDEN, CT 06517-1928
(203) 230-0610
Mailing address
1697 WHITNEY AVE, HAMDEN, CT 06517-1928
(203) 230-0610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0009650
CT
183500000X
Pharmacist
RPH.03331421
OH
183500000X
Pharmacist
RPH04239
RI
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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