Individual
THANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S VILLAGE RD, EL DORADO, KS 67042-3287
(316) 322-8100
Mailing address
301 S VILLAGE RD, EL DORADO, KS 67042-3287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-108147
KS
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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