Individual
NICOLE STOOTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
880 HARRISON AVE, OUTPATIENT PHARMACY YAAC, BOSTON, MA 02118
(617) 414-4883
Mailing address
880 HARRISON AVE, OUTPATIENT PHARMACY YAAC, BOSTON, MA 02118
(617) 414-4883
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25926
MA
Other
Enumeration date
01/19/2007
Last updated
05/27/2008
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