Individual
TIFFANY NGUYEN PRADITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7151 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-8607
(817) 514-9474
Mailing address
7151 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-8607
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
71383
TX
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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