Individual
KIMNGAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7700 E VERMONT DR APT 9, TERRE HAUTE, IN 47802-9014
(773) 440-2666
Mailing address
7700 E VERMONT DR APT 9, TERRE HAUTE, IN 47802-9014
(773) 440-2666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025728A
IN
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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