Individual
BRIAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
(414) 223-6826
Mailing address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18500-40
WI
183500000X
Pharmacist
Primary
PHA.0021538
CO
Other
Enumeration date
10/12/2016
Last updated
06/13/2017
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