Individual
PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6501 LOISDALE CT, SPRINGFIELD, VA 22150
(703) 922-1234
Mailing address
8410 TYSONS TRACE CT, VIENNA, VA 22182-6034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214111
VA
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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