Individual
CHUONG HOANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2323 CHARLES ST, ROCKFORD, IL 61104-1550
(815) 399-1474
Mailing address
7181 ROBINSWOOD DRIVE, ROCKFORD, IL 61114
(815) 639-0693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288623
IL
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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