Individual
LAM THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10705 W INDIAN SCHOOL RD, AVONDALE, AZ 85392-5636
(623) 877-3245
Mailing address
7100 W GRANDVIEW RD APT 1147, PEORIA, AZ 85382-4912
(626) 277-6643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019478
AZ
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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