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Individual

KIET NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
6001 S SOONER RD STE B, OKLAHOMA CITY, OK 73135-5601
(405) 543-2680
(405) 543-2687
Mailing address
6001 S SOONER RD STE B, OKLAHOMA CITY, OK 73135-5601
(405) 543-2680
(405) 543-2687

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15701
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
843875621
OK
Enumeration date
11/11/2021
Last updated
11/11/2021
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