Most Relevant Information
Provider Data
NPI Number: | 1003485715 |
Provider Name: | THERESA NGUYEN PHARMD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 06/18/2021 |
Last Updated: | 08/10/2021 |
Provider Practice Location
111 S FRONT ST
HARRISBURG
PA
171012010
Practice Location Phone/Fax
Phone: | 7177823338 |
Fax: |
Provider Mailing Location
3600 FORBES AVE STE 140
PITTSBURGH
PA
152133410
Provider Mailing Phone/Fax
Phone: | |
Fax: |