Individual
MINH-THUY THI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REG PHARMACIST
Contact information
Practice address
348 GREENWOOD ST, WORCESTER, MA 01607-1728
(508) 752-1911
(508) 752-3553
Mailing address
348 GREENWOOD ST, WORCESTER, MA 01607-1728
(508) 752-1911
(508) 752-3553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21523
MA
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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