Individual
AYDEN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2515 S FLORIDA AVE, LAKELAND, FL 33803-3858
(863) 686-4241
Mailing address
2515 S FLORIDA AVE, LAKELAND, FL 33803-3858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS58447
FL
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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