| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEVIN VAN NGUYEN | 1871259309 | 2023-01-05 |
Kevin Van Nguyen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1871259309. Registration indicates Kevin Van Nguyen is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Kevin Van Nguyen RPH |
| Practice Office Address | 99 STAFFORD ST WORCESTER, MA US |
| Practice Office Telephone | 5087976401 |
| Mailing Address | 99 STAFFORD ST WORCESTER, MA 016031456 US |
| Business Telephone | 5087976401 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 472 Lincoln St | Worcester, MA 016051917 | 5088567923 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | PH240526
MA |