Individual
PHU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1400 NW 12TH AVE STE 2002, MIAMI, FL 33136-1003
(305) 702-9065
Mailing address
1400 NW 12TH AVE STE 2002, MIAMI, FL 33136-1003
(786) 512-0679
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS59809
FL
Other
Enumeration date
09/05/2019
Last updated
12/26/2022
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