Individual
AUSTIN-PHONG NGOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1790 DECOTO RD, UNION CITY, CA 94587-3524
(510) 429-9093
Mailing address
1790 DECOTO RD, UNION CITY, CA 94587-3524
(510) 429-9093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
81612
CA
Other
Enumeration date
06/19/2020
Last updated
03/16/2022
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