NPI 1083214456

Phung Hoang Nguyen

Practitioner Pharmacist Statesboro, GA

Practice location

Address: 349 Brampton Ave, Statesboro, GA 30458-0832
Phone: (912) 489-4643
Mailing address: 113 Rosamund Rd, Pooler, GA 31322-2247

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH030889 (GA)

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Registry record

NPI: 1083214456
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2020
Record last updated: 27 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.