Individual
KHAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14702 BALTIMORE AVE, LAUREL, MD 20707-4882
(301) 490-5487
Mailing address
7511 SUMMER BLOSSOM LN, COLUMBIA, MD 21046-1420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24342
MD
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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