Individual
JOSE LEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., MS
Contact information
Practice address
1123 PEARL ST, BROCKTON, MA 02301-5406
(800) 966-3000
Mailing address
1123 PEARL ST, BROCKTON, MA 02301-5406
(800) 966-3000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20796
MA
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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