Individual
ANHTHU-AMY MY THAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
710 E BROADWAY, BOSTON, MA 02127-1504
(617) 939-8667
Mailing address
61 PARK DR APT 7, BOSTON, MA 02215-5206
(617) 939-8667
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238531
MA
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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