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Individual

DR. CO QUOC LAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
3409 EVERGLADE LN, WYLIE, TX 75098-7399
(520) 295-3472
Mailing address
3409 EVERGLADE LN, WYLIE, TX 75098-7399
(520) 295-3472

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55929
CA

Other

Enumeration date
11/14/2007
Last updated
01/07/2011
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