Individual
KEVIN VAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
99 STAFFORD ST, WORCESTER, MA 01603-1456
(508) 797-6401
Mailing address
99 STAFFORD ST, WORCESTER, MA 01603-1456
(508) 797-6401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240526
MA
Other
Enumeration date
11/09/2021
Last updated
01/05/2023
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