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Individual

ANNA NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1235 S BUCKNER BLVD, DALLAS, TX 75217-4306
(214) 391-2195
Mailing address
4310 CURLEW LN, GARLAND, TX 75043-1798
(214) 558-4697

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
52765
TX
183500000X
Pharmacist
Primary
64509
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1578043584
NPI
Enumeration date
08/19/2018
Last updated
01/05/2021
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