Individual
KENNETH DINH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
912 WARD ST W, DOUGLAS, GA 31533-3516
(912) 384-2088
Mailing address
912 WARD ST W, DOUGLAS, GA 31533-3516
(912) 384-2088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033320
GA
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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