Individual
JOHNNY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
10290 DIBERVILLE BLVD, DIBERVILLE, MS 39540-2536
(228) 271-6751
Mailing address
3755 RIVER LOOP DR, DIBERVILLE, MS 39540-8802
(228) 326-4322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100021
MS
183500000X
Pharmacist
PST.023750
LA
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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