Individual
KELLY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9050 W UNION HILLS DR, PEORIA, AZ 85382-3023
(623) 566-1986
Mailing address
12543 W KRALL CT, GLENDALE, AZ 85307-1936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026700
AZ
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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