Individual
DR. KHOA DANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5108 CLEVELAND BLVD, CALDWELL, ID 83607-8002
(208) 455-0800
Mailing address
5108 CLEVELAND BLVD, PHARMACY, CALDWELL, ID 83607-8002
(208) 455-0800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
214888
AK
183500000X
Pharmacist
25118
NV
183500000X
Pharmacist
Primary
P7869
ID
183500000X
Pharmacist
PH60786953
WA
183500000X
Pharmacist
RP0010180
WV
183500000X
Pharmacist
RPH-0016238
OR
183500000X
Pharmacist
RPH0016238
OR
Other
Enumeration date
11/03/2017
Last updated
07/04/2026
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