Individual
HOANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10200 SULLIVAN RD, BATON ROUGE, LA 70818-4305
(225) 262-1413
Mailing address
1315 N CICERO AVE, BATON ROUGE, LA 70816-1856
(225) 636-8405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18992
LA
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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