Individual
DR. LILY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11425 W BUCKEYE RD, AVONDALE, AZ 85323-6810
(623) 907-6161
Mailing address
11425 W BUCKEYE RD, AVONDALE, AZ 85323-6810
(623) 907-6161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022746
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S022746
ARIZONA STATE BOARD OF PHARMACY
AZ
Enumeration date
08/21/2017
Last updated
07/21/2022
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