Individual
KEEANNE PREVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
399 MAIN ST, SOUTHBRIDGE, MA 01550-3728
(508) 765-0646
(508) 764-7210
Mailing address
399 MAIN ST, SOUTHBRIDGE, MA 01550-3728
(508) 765-7210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1001116
MA
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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