Individual
JOHNNY TAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11411 E KELLOGG DR, WICHITA, KS 67207-1928
(316) 683-8463
(316) 683-1023
Mailing address
11411 E KELLOGG DR, WICHITA, KS 67207-1928
(316) 683-8463
(316) 683-1023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13890
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
KS
Enumeration date
08/19/2014
Last updated
08/19/2014
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