Individual
DR. JENNIFER GUILMET TAVERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
182 MAIN ST, STURBRIDGE, MA 01566-1258
(508) 374-7874
Mailing address
182 MAIN ST, STURBRIDGE, MA 01566-1258
(508) 374-7874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237331
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH237331
PHARMACIST LICENSE
MA
Enumeration date
06/01/2017
Last updated
07/21/2022
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