Individual
P MIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
339 POND ST, ASHLAND, MA 01721-2327
(508) 740-9000
Mailing address
80 HAYDEN AVE FL 3, LEXINGTON, MA 02421-7967
(508) 740-9000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19642
MA
Other
Enumeration date
07/13/2019
Last updated
12/06/2024
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