Individual
MISS TRAM THI-PHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
500 FOOTHILL BLVD, OP119, SLC, UT 84148-0001
(801) 582-1565
(801) 584-2530
Mailing address
332 MANILLA DR, DRAPER, UT 84020-5111
(801) 582-1565
(801) 584-2530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14995
LA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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