Individual
DAVID TRUNG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 CORNERSIDE BLVD STE B, VIENNA, VA 22182-2437
(571) 623-3307
Mailing address
1500 CORNERSIDE BLVD STE B, VIENNA, VA 22182-2437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216201
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202216201
BOARD OF PHARMACY
VA
Enumeration date
10/07/2017
Last updated
10/07/2017
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