Individual
LOI DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
ATTN: PHARMACY, 1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1668
(928) 771-5155
(928) 771-5502
Mailing address
ATTN: PHARMACY, 1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1668
(928) 771-5155
(928) 771-5502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025388
AZ
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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