Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vicheth Mam

Individual provider Pharmacist · NPI 1902400963

Vicheth Mam is a Pharmacist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020
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Practice location Address checks out

35 Kneeland St
Boston, MA 02111-1523
Phone: (617) 542-1885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH27570 (MA)

Record details

NPI number1902400963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020
Mailing address35 Kneeland St, Boston, MA 02111-1523

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