Individual
LEILA LOVELLE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2140
(803) 936-3136
Mailing address
215 HOPE TRACE WAY, IRMO, SC 29063-9295
(803) 261-1808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8892
SC
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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