Individual
TOAN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-4883
Mailing address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-4883
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5099
MA
Other
Enumeration date
01/08/2007
Last updated
05/07/2008
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