Individual
PHUOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 LONGWOOD AVE, BOSTON, MA 02115-5726
(617) 731-8665
Mailing address
406 ADAMS ST, MILTON, MA 02186-4348
(617) 293-9771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH27582
MA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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