Individual
QUYEN TO TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 ISLAND AVE, QUINCY, MA 02169-3116
(617) 331-5065
(781) 331-1636
Mailing address
57 ISLAND AVE, QUINCY, MA 02169-3116
(617) 331-5065
(781) 331-1636
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PH25763
MA
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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