Individual
PHILLIP WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10 BASSETT ST, MILTON, MA 02186-5507
(617) 698-2805
(617) 696-7275
Mailing address
1205 HANCOCK ST APT 611, QUINCY, MA 02169-4355
(617) 650-5578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234170
MA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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