Individual
MI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4012 BERGENLINE AVE, UNION CITY, NJ 07087-4920
(201) 348-0810
Mailing address
1 ELKRIDGE WAY, MANALAPAN, NJ 07726-3179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061478
NY
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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