Individual
HA-LIEU NANCY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6665 STOCKTON BLVD, SUITE # 6, SACRAMENTO, CA 95823-1634
(916) 393-1071
(916) 393-1072
Mailing address
6665 STOCKTON BLVD, SUITE # 6, SACRAMENTO, CA 95823-1634
(916) 393-1071
(916) 393-1072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
44661
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHA442500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442500
—
CA
Enumeration date
08/24/2005
Last updated
01/22/2008
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