Individual
PHUC VAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 GAUSE BLVD W, SLIDELL, LA 70460-2625
(985) 643-6262
Mailing address
10100 CHEF MENTEUR HWY, NEW ORLEANS, LA 70127-4210
(504) 261-4006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45993
LA
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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