Individual
EILENE WEGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D, RPH
Contact information
Practice address
132 BRADFORD ST, PROVINCETOWN, MA 02657-1435
(508) 487-0019
Mailing address
132 BRADFORD ST, PROVINCETOWN, MA 02657-1435
(617) 435-9053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH232602
MA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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