Individual
KRISTEN GIANNETTI PENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LAKERIDGE DR, GEORGETOWN, MA 01833-1401
(978) 352-5027
Mailing address
1 LAKERIDGE DR, GEORGETOWN, MA 01833-1401
(978) 352-5027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22433
MA
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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