Individual
NGAN K VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 COLUMBIA RD, DORCHESTER, MA 02125-2315
(617) 436-0155
(617) 436-5789
Mailing address
533 COLUMBIA RD, DORCHESTER, MA 02125-2315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH232363
MA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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