Individual
PHILLIP LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 PLAIN ST, TAUNTON, MA 02780-4980
(508) 897-9038
Mailing address
48 PLAIN ST, TAUNTON, MA 02780-4980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH236950
MA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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