Individual
BAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 ALBANY TPKE, CANTON, CT 06019-2507
(860) 693-8077
Mailing address
153 TRAFTON RD, SPRINGFIELD, MA 01108-2639
(413) 209-6261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16334
CT
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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