# RANDOLPH PHARMACY LTC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710750088
- **Authorized official:** TRIET MINH NGO (OWNER)
- **Authorized official phone:** (781) 885-1181

## Contact information

- **Practice address:** 1187 N MAIN ST, RANDOLPH, MA 02368-2135
- **Practice address phone:** (781) 885-1181
- **Practice address fax:** (781) 885-1284
- **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 |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2023
- **Last updated:** 10/30/2023