Individual
PHUONG T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
15051 E 104TH AVE, COMMERCE CITY, CO 80022-9706
(303) 286-5470
(303) 286-5472
Mailing address
15051 E 104TH AVE, COMMERCE CITY, CO 80022-9706
(303) 286-5470
(303) 286-5472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15354
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
INDIVIDUAL
CO
Enumeration date
04/09/2013
Last updated
04/09/2013
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