Individual
KEVIN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
534 DORCHESTER AVE, BOSTON, MA 02127-2762
(617) 268-0800
(617) 752-4032
Mailing address
534 DORCHESTER AVE, BOSTON, MA 02127-2762
(617) 268-0800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25024
MA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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