Individual
DR. THIEN H NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
208 W CASABLANCA AVE, CANNON AFB, NM 88103-5009
(575) 784-4028
Mailing address
211 FAIRWAY TER N, CLOVIS, NM 88101-3064
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035094
MI
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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