Individual
KIM DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 DORCHESTER AVE, BOSTON, MA 02124-5623
(617) 296-1025
Mailing address
8 ROSELAND ST, BOSTON, MA 02124-2407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233607
MA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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