Individual
DR. CHANNEL MARIE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5550
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295986
IL
183500000X
Pharmacist
PH234809
MA
Other
Enumeration date
08/15/2012
Last updated
07/30/2015
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