Individual
QUYEN ANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4480
Mailing address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60865954
WA
Other
Enumeration date
07/24/2019
Last updated
02/04/2021
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