Individual
KEVIN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
457 LAPALCO BLVD, GRETNA, LA 70056-7366
(504) 393-4941
Mailing address
3620 LAKE WINNIPEG DR, HARVEY, LA 70058-5169
(504) 579-2482
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024093
LA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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