Individual
DANTAM HUYNH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2306
(317) 923-1491
Mailing address
6320 E ABLINGTON CT, CAMBY, IN 46113-9656
(317) 918-9473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028488A
IN
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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