Individual
LARRY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 42ND AVE N, NEW HOPE, MN 55427-1100
(763) 531-7460
Mailing address
15210 RANGER RD, SAN LEANDRO, CA 94579-2614
(510) 912-1235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124181
MN
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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