Individual
MRS. KATIE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 638-8140
(617) 638-8149
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 638-8140
(617) 638-8149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24139
MA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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