Individual
KIM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 638-8000
Mailing address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 638-8000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH23955
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111111111111
N/A
MA
Enumeration date
01/03/2020
Last updated
01/03/2020
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