Individual
PHONG THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
99 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-2550
(413) 737-6523
Mailing address
47 FARMSTEAD LN, SUFFIELD, CT 06078-1245
(860) 758-7775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25227
MA
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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