Individual
THAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3112 S HARVARD AVE, TULSA, OK 74135-4403
(918) 742-1058
Mailing address
3112 S HARVARD AVE, TULSA, OK 74135-4403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17760
OK
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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