Most Relevant Information
Provider Data
| NPI Number: | 1003417445 |
| Provider Name: | MONG-TUYEN THI NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | E-16784 |
Most Important Dates
| Enumeration Date: | 11/03/2020 |
| Last Updated: | 11/03/2020 |
Provider Practice Location
6080 U S HIGHWAY 98
HATTIESBURG
MS
394028854
Practice Location Phone/Fax
| Phone: | 6012687755 |
| Fax: |
Provider Mailing Location
7005 OAK COVE DR
BILOXI
MS
395325015
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |