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Individual

MICHELLE PHUONG NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12605 INTERSTATE 45 N, WILLIS, TX 77318-5807
(936) 890-5060
Mailing address
7 WEDGEWOOD DR W, MONTGOMERY, TX 77356-8369
(281) 774-8779

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
67950
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
67950
TX

Other

Enumeration date
01/13/2021
Last updated
02/17/2021
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