PHONG DUONG

MOORE, OK
NPI1316221104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  14792)
Enumeration Date2011-09-28
Last Update Date2011-09-28
Business Address
-- PHONG DUONG
1201 NW 12TH ST
MOORE, OK 73170-1220
Phone number: 405-799-2244
Mailing Address
-- PHONG DUONG
812 NW 18TH ST
MOORE, OK 73160-1508
Phone number: 405-512-9263