Individual
MARY LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 MOUNT AUBURN ST, WATERTOWN, MA 02472-2017
(617) 744-0842
Mailing address
655 MOUNT AUBURN ST, WATERTOWN, MA 02472-2017
(617) 744-0842
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH22340
MA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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