Individual
MYLE THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
575 BROADWAY, MALDEN, MA 02148-2039
(813) 211-0177
Mailing address
575 BROADWAY, MALDEN, MA 02148-2039
(781) 321-1017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241380
MA
183700000X
Pharmacy Technician
PI63990
MA
Other
Enumeration date
05/20/2020
Last updated
10/01/2024
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