Individual
DR. ANNIE PHUONG THAO DINH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3760
Mailing address
1604 MAXWELL AVE, ROYAL OAK, MI 48067-1267
(858) 201-9905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302044687
MI
183500000X
Pharmacist
Primary
76450
CA
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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