Individual
BEAU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
401 E GREEN BAY ST, SHAWANO, WI 54166-2541
(920) 217-2673
Mailing address
401 E GREEN BAY ST, SHAWANO, WI 54166-2541
(920) 217-2673
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16181-040
WI
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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