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Individual

HUNG PHU VUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7125 HIGHWAY 85, RIVERDALE, GA 30274-2953
(770) 996-3118
(770) 994-5602
Mailing address
7125 HIGHWAY 85, RIVERDALE, GA 30274-2953
(770) 996-3118
(770) 994-5602

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH026859
GA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH02689
GA

Other

Enumeration date
03/23/2020
Last updated
03/23/2020
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