Individual
CHUONG KIM VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
277 W STATE ROAD 436, ALTAMONTE SPRINGS, FL 32714-4228
(407) 389-6025
(407) 385-6031
Mailing address
7761 ISLEWOOD CT, SANFORD, FL 32771-8113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS40815
FL
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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