Individual
KATIE D NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
454 BROADWAY, REVERE, MA 02151-3034
(781) 485-8272
(781) 485-8161
Mailing address
195 CANAL ST, MALDEN, MA 02148-6701
(781) 338-8990
(781) 338-8991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH233028
MA
1835P2201X
Ambulatory Care Pharmacist
Primary
PH233028
MA
Other
Enumeration date
11/20/2020
Last updated
07/09/2025
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