Individual
LOAN THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
778 DUDLEY ST, DORCHESTER, MA 02125-2276
(617) 825-2572
Mailing address
778 DUDLEY ST, DORCHESTER, MA 02125-2276
(617) 825-2572
(617) 288-0094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH26942
MA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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