Individual
AMANDA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
451 WASHINGTON ST, DORCHESTER, MA 02124-1138
(617) 740-0611
Mailing address
451 WASHINGTON ST, DORCHESTER, MA 02124-1138
(617) 740-0611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238953
MA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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