Individual
CHRIS NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 NW 12TH ST, MOORE, OK 73170-1220
(405) 799-2244
Mailing address
12500 BREE LN, OKLAHOMA CITY, OK 73170-4765
(405) 887-6041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15491
OK
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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