Individual
KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 SAMS WAY, LAKE CHARLES, LA 70601-8783
(337) 477-2775
Mailing address
4203 MAID STONE DR, LAKE CHARLES, LA 70605-4033
(337) 274-7232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017419
LA
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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