Individual
JIMMY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
828 S 900 W, SALT LAKE CITY, UT 84104-1455
(801) 364-2564
(801) 363-4633
Mailing address
828 S 900 W, SALT LAKE CITY, UT 84104-1455
(801) 364-2564
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
8522028-1701
UT
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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