Individual
JEANNY HANH NGUYEN NUCCITELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1946 MR JOE WHITE AVE, MYRTLE BEACH, SC 29577-5624
(843) 445-7179
Mailing address
1946 MR JOE WHITE AVE, MYRTLE BEACH, SC 29577-5624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012224
SC
3336C0003X
Community/Retail Pharmacy
12224
SC
Other
Enumeration date
09/27/2013
Last updated
03/14/2022
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