Individual
KIM-PHUNG LUU TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
600 CARROLLTON VILLA RICA HWY, VILLA RICA, GA 30180-4969
(770) 459-9117
Mailing address
25 AGNES ST, TEMPLE, GA 30179-5327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
21365
AL
183500000X
Pharmacist
Primary
RPH032228
GA
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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