Individual
DIEM-CHI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4511 LANTANA RD, LAKE WORTH, FL 33463-6907
(561) 965-6444
Mailing address
5832 ABELINA LN, LAKE WORTH, FL 33463-7401
(508) 981-5189
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS53098
FL
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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