Organization
VINHS BROTHERS INC
Active
Other names
MAXIM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HIEU VINH (PRESIDENT)
(617) 282-9800
Entity
Organization
Contact information
Practice address
1365 1377 DORCHESTER AVE, STE 1, DORCHESTER, MA 02122
(617) 282-9800
(612) 282-9814
Mailing address
1365 1377 DORCHESTER AVE, STE 1, DORCHESTER, MA 02122
(617) 282-9800
(612) 282-9814
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS3425
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0407674
—
MA
01
—
2039556
PK
—
Enumeration date
07/09/2006
Last updated
03/31/2021
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