Individual
BAO GIA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3745 E FOOTHILL BLVD, PASADENA, CA 91107-2202
(626) 351-0515
Mailing address
157 W FAIRVIEW AVE, SAN GABRIEL, CA 91776-2959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79763
CA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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