Individual
KIM PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
425 LOWELL AVE, HAVERHILL, MA 01832
(978) 373-1234
Mailing address
4 9TH AVE, HAVERHILL, MA 01830-3203
(774) 253-4300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25038
MD
183500000X
Pharmacist
PH238416
MA
Other
Enumeration date
11/23/2018
Last updated
01/18/2019
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