Individual
PHA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(714) 775-7501
Mailing address
3600 MCFADDEN AVE, SANTA ANA, CA 92704
(714) 775-7501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37610
CA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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