NPI 1053540062

Lucky Yang

Practitioner Pharmacist Brockton, MA

Practice location

Address: 1933 Main St, Brockton, MA 02301-7131
Phone: (508) 587-0235
Fax: (508) 584-0874
Mailing address: 4152 Lakeland Ave N, Robbinsdale, MN 55422-1832

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 24903 (MA)

Other Pharmacist providers in Massachusetts →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 122629 (MN)

Registry record

NPI: 1053540062
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2009
Record last updated: 24 Jul 2022

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.