Individual
KIM PHUONG THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
144 W 134TH ST, CUT OFF, LA 70345-4155
(985) 325-9750
(985) 325-9751
Mailing address
144 W 134TH ST, CUT OFF, LA 70345-4155
(985) 325-9750
(985) 325-9751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17974
LA
Other
Enumeration date
08/15/2014
Last updated
08/12/2015
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