Individual
DERRICK NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 E JEFFERSON AVE, ENGLEWOOD, CO 80113-3822
(303) 789-5334
Mailing address
7797 YATES ST, WESTMINSTER, CO 80030-4660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0021544
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21544
PHARMACY LICENSE
CO
Enumeration date
05/04/2017
Last updated
05/04/2017
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