Individual
NGOC BAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1515 W STATE ST, BOISE, ID 83702-4039
(208) 345-7684
Mailing address
2015 S HUDSON AVE APT E104, BOISE, ID 83705-4256
(661) 854-6432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10460
ID
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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