Individual
ALICE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 N 99TH AVE APT 1095, PHOENIX, AZ 85037-5934
(714) 653-3087
Mailing address
4410 N 99TH AVE APT 1095, PHOENIX, AZ 85037-5934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021714
AZ
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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