Individual
LOC PHUC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5263
Mailing address
4405 BARNETT ST APT C, METAIRIE, LA 70006-2073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022170
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA.003550
—
LA
Enumeration date
11/29/2017
Last updated
11/29/2017
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