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Individual

DR. MINH HUNG NGUYEN TA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
10000 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-3612
(410) 720-3002
Mailing address
90 HAMMONDS LN APT 342, BROOKLYN PARK, MD 21225-3681
(443) 310-7201

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28912
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40009256900
MD
Enumeration date
11/28/2022
Last updated
11/28/2022
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