Individual
TONY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1122
Mailing address
650 S GAINES ST APT 408, PORTLAND, OR 97239-4766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051302477
IL
183500000X
Pharmacist
PS60741
FL
183500000X
Pharmacist
Primary
RPH-0018488
OR
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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