Individual
PHUONG MY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
44 BINNEY ST, BOSTON, MA 02115-6013
(617) 632-3338
Mailing address
44 BINNEY ST, BOSTON, MA 02115-6013
(617) 632-4820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25020
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183500000X
PHARMACIST
MA
Enumeration date
05/16/2010
Last updated
05/17/2010
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