Individual
QUOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4650 W MAIN ST STE 700, DOTHAN, AL 36305-9421
(407) 856-2301
Mailing address
105 BRIAN CT, DALEVILLE, AL 36322-4133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20734
AL
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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