Ellis Nguyen

NPI #1023630365 in Lafayette, Louisiana

Provider Information

NPI Number: 1023630365
Entity Type: Individual
Name: Ellis Nguyen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: May 9, 2020
Last Updated: May 9, 2020

Practice Location

Address: 4600 AMBASSADOR CAFFERY PKWY
City: Lafayette
State: Louisiana
ZIP Code: 70508-6902
Phone: (337) 470-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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