Individual
TONY VIET-SON NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PST
Contact information
Practice address
4460 LAKE ST, LAKE CHARLES, LA 70605-4312
(337) 478-6042
Mailing address
1330 W MCNEESE ST APT 9201, LAKE CHARLES, LA 70605-4518
(504) 358-7414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023591
LA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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