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Individual

KIM PHUNG THI NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
120 MEADOWCREST ST, SUITE 150, GRETNA, LA 70056-5255
(504) 393-7733
Mailing address
120 MEADOWCREST ST, SUITE 150, GRETNA, LA 70056-5255
(504) 393-7733

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-12736
MS
183500000X
Pharmacist
Primary
PST.019928
LA

Other

Enumeration date
04/24/2012
Last updated
09/13/2013
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