# RANDOLPH PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619221322
- **Authorized official:** MR. TRIET MINH NGO PHARM D (OWNER)
- **Authorized official phone:** (781) 885-1181

## Contact information

- **Practice address:** 1187 N MAIN ST, RANDOLPH, MA 02368-2135
- **Practice address phone:** (617) 750-2588
- **Mailing address:** 1187 N MAIN ST, RANDOLPH, MA 02368-2135
- **Mailing address phone:** (781) 885-1181
- **Mailing address fax:** (781) 885-1284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/01/2012
- **Last updated:** 11/07/2024