Individual
KHANHBAO NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4855 N MAIN ST, DAYTON, OH 45405-5024
(937) 279-0468
(937) 279-2262
Mailing address
4855 N MAIN ST, DAYTON, OH 45405-5024
(937) 279-0468
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03136134
OH
Other
Enumeration date
06/13/2020
Last updated
12/31/2020
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