Individual
DR. QUYNH THUY PHUC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3490 DRUSILLA LN, BATON ROUGE, LA 70809-1866
(225) 367-6488
Mailing address
3490 DRUSILLA LN, BATON ROUGE, LA 70809-1866
(225) 367-6488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023054
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.023054
PHARMACIST LICENSE
LA
Enumeration date
11/21/2019
Last updated
11/21/2019
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