Individual
JACQUELINE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 MARTIN BLVD, MIDDLE RIVER, MD 21220-4104
(410) 406-9082
Mailing address
1330 MARTIN BLVD, MIDDLE RIVER, MD 21220-4104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29385
MD
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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