Individual
DR. THAI QUOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
4730 N HABANA AVE STE 305, TAMPA, FL 33614-7187
(800) 544-9177
Mailing address
8908 SABODA CT, TAMPA, FL 33634-1117
(813) 503-0490
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PS54194
FL
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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