Individual
MICHAEL TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
225 MAIN ST, STONEHAM, MA 02180-1252
(781) 438-9238
Mailing address
56 PINCKNEY ST, SOMERVILLE, MA 02145-3424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240440
MA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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