Individual
JOHNNY TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1900 1ST CAPITOL DR, SAINT CHARLES, MO 63301-1609
(636) 946-0738
Mailing address
1109 SULPHUR SPRING RD, BALLWIN, MO 63021-7419
(314) 602-7499
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016026627
MO
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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