Organization · NPI-2

An Cuong LLC

Pharmacy, Community/Retail Pharmacy · New Orleans, LA

NPI number1457428757
StatusActive
Last updated in NPPESMar 4, 2009

Details

NPI
1457428757
Entity type
Organization (NPI-2)
Legal business name
An Cuong LLC
Organization subpart
No
Enumeration date
Nov 29, 2006
Last updated
Mar 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Other names

  • Tien'S Pharmacy (Doing Business As)

Practice location

4623 Alcee Fortier Blvd
New Orleans, LA 70129-2140

Phone 504-254-9034 · Fax 504-254-5028

Mailing address

Po Box 29636
New Orleans, LA 70189-0636

Phone 504-254-9034 · Fax 504-254-5028

Authorized official

An N Tran
Pharmacist
5042549034

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