Individual
ERIC TRUNG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
472 LINCOLN ST, WORCESTER, MA 01605-1917
(508) 856-7923
Mailing address
472 LINCOLN ST, WORCESTER, MA 01605-1917
(508) 856-7923
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239704
MA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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