| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HOAI KHANH THANH NGUYEN | 1457955312 | 2020-11-22 |
Hoai Khanh Thanh Nguyen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1457955312. Registration indicates Hoai Khanh Thanh Nguyen is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Hoai Khanh Thanh Nguyen PHARM.D. |
| Practice Office Address | 5407 BLANDING BLVD JACKSONVILLE, FL US |
| Practice Office Telephone | 9047728884 |
| Mailing Address | 7584 GINGER TEA TRL W JACKSONVILLE, FL 322447079 US |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | PS58327
FL |