Individual
DR. LY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.,BCPS
Contact information
Practice address
655 W 8TH ST, DEPARTMENT OF PHARMACY, JACKSONVILLE, FL 32209-6511
(904) 244-0354
Mailing address
655 W 8TH ST, DEPARTMENT OF PHARMACY, JACKSONVILLE, FL 32209-6511
(904) 244-0354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12664
NE
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS47270
FL
Other
Enumeration date
10/11/2007
Last updated
07/18/2013
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