Individual
DR. PATRICK EVANS PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1377 HYDE PARK AVE, HYDE PARK, MA 02136-2752
(617) 364-3161
Mailing address
19 GLENCLIFF RD, ROSLINDALE, MA 02131-4908
(617) 840-9653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235360
MA
183500000X
Pharmacist
RPH05552
RI
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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