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Organization

AVENTYN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS THINH TRUONG VU PHARM.D. (PHARMACIST)
(651) 226-0931
Entity
Organization

Contact information

Practice address
300 CARLSBAD VILLAGE DR STE 108A, CARLSBAD, CA 92008-2990
(231) 794-2328
Mailing address
1490 TARA CT, CARLSBAD, CA 92008-2647
(231) 794-2328

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73241
CA

Other

Enumeration date
08/31/2015
Last updated
08/31/2015
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