Individual
KENNYA D COSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 MYSTIC VIEW RD, EVERETT, MA 02149-2428
(617) 420-0001
Mailing address
10 PEPPER HILL DR, WINCHESTER, MA 01890-3619
(857) 204-0360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237446
MA
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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