Individual
SANDY MAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 HIGH ST, MEDFORD, MA 02155-3825
(781) 396-4770
Mailing address
85 HIGH ST, MEDFORD, MA 02155-3825
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
236913
MA
Other
Enumeration date
04/17/2020
Last updated
09/12/2021
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