Individual
MISS LISA NGAN B NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
350 LONGWOOD AVE, BOSTON, MA 02115-5726
(617) 731-5753
Mailing address
210 WASHINGTON ST, WOBURN, MA 01801-3369
(781) 775-9653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH236929
MA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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