Individual
DR. THANH PHONG HA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
381 PATTESON DR, MORGANTOWN, WV 26505-3270
(304) 598-2265
Mailing address
96 BLUE GRASS VLG, MORGANTOWN, WV 26501-7146
(408) 677-1888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0010313
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0010313
WV BOARD OF PHARMACY
WV
Enumeration date
10/02/2017
Last updated
10/02/2017
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