Individual
HENRY LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
178 WASHINGTON ST, BRAINTREE, MA 02184-1708
(857) 265-0735
Mailing address
178 WASHINGTON ST, BRAINTREE, MA 02184-1708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240085
MA
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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