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Individual

DR. PHUNG CAM ON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
637 WASHINGTON ST, BOSTON, MA 02124-3510
(617) 825-9660
Mailing address
179 LONGWOOD AVE, BOSTON, MA 02115-5804

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH234829
MA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH234829
MA
1835P1200X
Pharmacotherapy Pharmacist
PH234829
MA

Other

Enumeration date
11/17/2021
Last updated
03/22/2023
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