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Individual

AN HOANG NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
15990 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-1014
(714) 775-3974
Mailing address
1328 S FREMONT ST, ANAHEIM, CA 92804-4666
(714) 889-0185

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73798
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73798
PHARMACIST LICENSE
CA
Enumeration date
10/29/2015
Last updated
12/28/2022
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