Individual
MS. AMANDA ELIZABETH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD CANDIDATE
Contact information
Practice address
416 WARREN ST, ROXBURY, MA 02119-1831
(617) 541-0310
Mailing address
416 WARREN ST, ROXBURY, MA 02119-1831
(617) 541-0310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
130848
MA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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