Individual
AN NHAN LE VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1770 S ELM PL, BROKEN ARROW, OK 74012-6453
(918) 258-6185
(918) 258-6188
Mailing address
500 E FREDERICKSBURG ST, BROKEN ARROW, OK 74011-3590
(918) 814-4181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14537
OK
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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