Individual
LOAN KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E TUCKER RD, LIBERAL, KS 67901-2188
(620) 626-4240
(620) 626-4239
Mailing address
250 E TUCKER RD, LIBERAL, KS 67901-2188
(620) 626-4240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
102790
KS
Other
Enumeration date
04/13/2018
Last updated
12/06/2022
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