Individual
DANIEL QUOC AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 BROADWAY, LYNN, MA 01904-1806
(781) 581-9400
(781) 581-3791
Mailing address
290 BROADWAY ST, LYNN, MA 01904
(781) 581-9400
(781) 581-3791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH24497
MA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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