Individual
JOHNNY THANH LE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
610 E WINE COUNTRY RD, GRANDVIEW, WA 98930-1062
(509) 882-1060
Mailing address
610 E WINE COUNTRY RD, GRANDVIEW, WA 98930-1062
(509) 882-1060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60856319
WA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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