Most Relevant Information
Provider Data
| NPI Number: | 1003447475 |
| Provider Name: | THOMAS NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 75460 |
Most Important Dates
| Enumeration Date: | 02/04/2020 |
| Last Updated: | 02/04/2020 |
Provider Practice Location
3700 SOUTH ST
LAKEWOOD
CA
907121419
Practice Location Phone/Fax
| Phone: | 5626026806 |
| Fax: |
Provider Mailing Location
6821 THELMA AVE
BUENA PARK
CA
906202428
Provider Mailing Phone/Fax
| Phone: | 7149446649 |
| Fax: |