Individual
JOEY MARK NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
747 GALLIVAN BLVD, DORCHESTER, MA 02122
(617) 282-5246
(617) 288-5242
Mailing address
747 GALLIVAN BLVD, DORCHESTER, MA 02122
(617) 282-5246
(617) 288-5242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
59686
TX
183500000X
Pharmacist
79987
CA
183500000X
Pharmacist
Primary
P-MA-CV19-718684
MA
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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