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Organization

RANDOLPH PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TRIET MINH NGO PHARM D (OWNER)
(781) 885-1181
Entity
Organization

Contact information

Practice address
1187 N MAIN ST, RANDOLPH, MA 02368-2135
(617) 750-2588
Mailing address
1187 N MAIN ST, RANDOLPH, MA 02368-2135
(781) 885-1181
(781) 885-1284

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy

Other

Enumeration date
11/01/2012
Last updated
11/07/2024
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