Individual
JOHNNY NGUYEN LUU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12290 COLLEGE BLVD, OVERLAND PARK, KS 66210-4049
(913) 327-1332
Mailing address
11031 W 133RD TER APT 7, OVERLAND PARK, KS 66213-3675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16875
KS
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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