Individual
LONG KIM TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
792 MAIN ST, CLINTON, MA 01510-1608
(978) 368-7631
Mailing address
55 GATES LN, WORCESTER, MA 01603-1810
(508) 414-5448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241111
MA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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