Individual
DIANA KIM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 WESTBANK EXPY, MARRERO, LA 70072-3065
(504) 340-6337
Mailing address
1942 SQUIREWOOD DR E, HARVEY, LA 70058-7489
(850) 529-3029
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PST.023628
LA
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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