Organization
WAL-MART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHA NGUYEN PHARMD (PHARMACIST)
(919) 824-1203
Entity
Organization
Contact information
Practice address
4424 W WENDOVER AVE, GREENSBORO, NC 27407-2600
(336) 292-2923
Mailing address
4424 W WENDOVER AVE, GREENSBORO, NC 27407-2600
(336) 292-2923
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20707
NC
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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