Individual
GRACE MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 MORRISSEY BLVD, DORCHESTER, MA 02122-3522
(617) 822-1307
Mailing address
715 MORRISSEY BLVD, DORCHESTER, MA 02122-3522
(508) 826-3789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234647
MA
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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