Individual
MR. KENNY DUY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 TELEGRAPH RD, SAINT LOUIS, MO 63125-4026
(314) 416-8123
Mailing address
2700 TELEGRAPH RD, SAINT LOUIS, MO 63125-4026
(314) 416-8123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2001004049
MO
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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