Individual
ANNA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3670 S NOGALES ST, WEST COVINA, CA 91792-2714
(626) 912-7031
Mailing address
847 AHERN DR, LA PUENTE, CA 91746-1222
(626) 277-6724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
81633
CA
Other
Enumeration date
02/24/2020
Last updated
09/02/2020
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