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NPI Code Detail

MEDICARE: KIET NGUYEN HOANG PHARM D.

MEDICARE: KIET NGUYEN HOANG PHARM D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist19333LA

General Provider Information

NPI Number : 1407139462
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIET NGUYEN HOANG PHARM D.
Provider Business Mailing Address
First Line : 820 W ESPLANADE AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-2757
Country : US
Telephone Number : 504-467-8313
Fax Number : 504-467-9943
Provider Business Practice Location Address
First Line : 820 W ESPLANADE AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-2757
Country : US
Telephone Number : 504-467-8313
Fax Number : 504-467-9943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2011
Last Update Date : 09/26/2011

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Directions to “ KIET NGUYEN HOANG PHARM D.” Practice Location

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