Individual
KHANH TRUNG HA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 GLYNN ST N, FAYETTEVILLE, GA 30214-1193
(770) 716-2262
Mailing address
1175 RIVER OVERLOOK DR, LAWRENCEVILLE, GA 30043-5498
(678) 654-9118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032447
GA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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