Individual
LAN T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 PLAZA NINETY-FOUR DR., ST. PETERS, MO 63376-6337
(636) 928-1625
(636) 928-0885
Mailing address
48 PLAZA NINETY-FOUR DR., SAINT PETERS, MO 63376
(636) 928-1625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
200300265
MO
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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