Individual
LILLIAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(217) 721-2599
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(217) 721-2599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.295834
IL
183500000X
Pharmacist
PH60469038
WA
183500000X
Pharmacist
RPH-0014121
OR
Other
Enumeration date
08/09/2012
Last updated
09/30/2015
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