Individual
SCOTT THELEMAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
26 NORTH ST, MEDFORD, MA 02155-4320
(617) 230-6875
Mailing address
26 NORTH ST, MEDFORD, MA 02155-4320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH26570
MA
Other
Enumeration date
07/31/2010
Last updated
07/31/2010
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