Individual
BAO HOAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
20020 CORTEZ BLVD, BROOKSVILLE, FL 34601-3834
(863) 838-5363
Mailing address
5420 HIGHLANDS VUE LN, LAKELAND, FL 33812-3244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS52243
FL
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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