Individual
HAWA M FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CHANDLER ST, WORCESTER, MA 01609-2402
(508) 414-4958
Mailing address
2 CHANDLER ST, WORCESTER, MA 01609-2402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235565
MA
Other
Enumeration date
08/16/2015
Last updated
08/16/2015
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