Individual
CHEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
703 GALLIVAN BLVD, DORCHESTER, MA 02124-5423
(617) 287-8292
(617) 474-1901
Mailing address
703 GALLIVAN BLVD, DORCHESTER, MA 02124-5423
(617) 287-8292
(617) 474-1901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P24232
MA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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