Individual
NAM HOAI NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5416 CAMERON ST, SCOTT, LA 70583-5285
(337) 266-5884
Mailing address
116 RESERVE DR APT 638, LAFAYETTE, LA 70503-5700
(504) 430-5202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022662
LA
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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