Individual
NICHOLAS JAMES GANLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1199 CENTRE ST, NEWTON CENTRE, MA 02459-1534
(617) 332-4900
Mailing address
62 HURLEY ST APT 1, CAMBRIDGE, MA 02141-2386
(812) 605-9296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241595
MA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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