Individual
KENNY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5416 CAMERON ST, SCOTT, LA 70583-5285
(337) 266-5884
Mailing address
2669 JUPITER ST, HARVEY, LA 70058-6210
(504) 669-8050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST022802
LA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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