Individual
RAE ALVIN HIEU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6304 N 99TH ST, OMAHA, NE 68134-1528
(402) 492-9349
(402) 492-9351
Mailing address
6304 N 99TH ST, OMAHA, NE 68134-1528
(402) 492-9349
(402) 492-9351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12524
NE
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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