Individual
EWAN D MCNICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-8817
Mailing address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 421-8817
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
237668
MA
Other
Enumeration date
11/19/2018
Last updated
05/03/2019
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