Individual
MINH TAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 JOHNSTON ST, WALGREENS, LAFAYETTE, LA 70503-3242
(504) 858-5733
Mailing address
12818 DOVE POINT LN, HOUSTON, TX 77041-4256
(504) 858-5733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.019630
LA
Other
Enumeration date
09/03/2011
Last updated
10/12/2011
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