Organization
RANDOLPH PHARMACY LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRIET MINH NGO (OWNER)
(781) 885-1181
Entity
Organization
Contact information
Practice address
1187 N MAIN ST, RANDOLPH, MA 02368-2135
(781) 885-1181
(781) 885-1284
Mailing address
1187 N MAIN ST, RANDOLPH, MA 02368-2135
(781) 885-1181
(781) 885-1284
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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