Individual
MR. LAWRENCE GUY MAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REG PHARMACIST
Contact information
Practice address
121 MASS AVE, ARLINGTON, MA 02474
(781) 643-7840
(781) 643-0174
Mailing address
16 PRINCE AVE, WINCHESTER, MA 01890
(781) 643-7840
(781) 643-0174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14275
MA
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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