Individual
PHUONG DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6099 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-3813
(757) 938-9580
Mailing address
2113 ALLEN GIMBERT WAY, VIRGINIA BEACH, VA 23453-6672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205647
VA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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