NPI 1023390630

Jonathan Nguyen

Practitioner Pharmacist Roxbury, MA

Practice location

Address: 2275 Washington St, Roxbury, MA 02119-3212
Phone: (617) 427-1763
Fax: (617) 427-5814

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 21932 (MA)

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Registry record

NPI: 1023390630
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2011
Record last updated: 9 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.