Individual
DAT NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4443 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2709
(318) 448-1683
Mailing address
1108 SANTA MARIA DR, MARRERO, LA 70072-2558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19805
LA
Other
Enumeration date
08/26/2012
Last updated
08/26/2012
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