Individual
TOAN THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
4851 W HOUSTON ST, BROKEN ARROW, OK 74012-4671
(918) 505-6094
(918) 505-6095
Mailing address
4413 S 173RD EAST AVE, TULSA, OK 74134-7356
(918) 605-8626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12418
OK
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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