Individual
EVAN Y PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
884 MAIN ST, MELROSE, MA 02176-2346
(781) 462-2000
Mailing address
26 LAKE ST, MALDEN, MA 02148-1950
(781) 526-2058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1001002
MA
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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