Organization
KIMMY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TUAN TRAN RPH (OWNER)
(617) 288-8199
Entity
Organization
Contact information
Practice address
1435 DORCHESTER AVE, DORCHESTER, MA 02122-2915
(617) 288-8199
(617) 288-8191
Mailing address
1435 DORCHESTER AVE, DORCHESTER, MA 02122-2915
(617) 288-8199
(617) 288-8191
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1888
MA
3336C0003X
Community/Retail Pharmacy
1888
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437239
—
MA
Enumeration date
01/26/2007
Last updated
09/11/2025
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