Individual
KELLY HONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MELNEA CASS BLVD, ROXBURY, MA 02119-4401
(617) 414-2080
Mailing address
11 MELNEA CASS BLVD, ROXBURY, MA 02119-4401
(617) 414-2080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
070686
NY
1835P2201X
Ambulatory Care Pharmacist
Primary
PH1000635
MA
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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