Individual
CLAUDETTE IRENE MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 VINEYARD HAVEN ROAD, EDGARTOWN, MA 02539-2368
(508) 627-5107
(844) 411-6348
Mailing address
PO BOX 1887, OAK BLUFFS, MA 02557-1887
(401) 450-6670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MA21414
MA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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