Individual
DR. KELLY THUY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
124 LANCASTER DR SE, SALEM, OR 97317-5331
(503) 428-5004
Mailing address
124 LANCASTER DR SE, SALEM, OR 97317-5331
(503) 428-5004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013775
OR
Other
Enumeration date
09/25/2013
Last updated
04/30/2014
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