Individual
LUKE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2705 W BROADWAY AVE, SULPHUR, OK 73086-6508
(580) 622-6181
Mailing address
3304 EASTMAN DR, OKLAHOMA CITY, OK 73112-4108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17347
OK
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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