Individual
KIERAN FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
29 WINDSOR DR, WHITMAN, MA 02382-1049
(617) 638-6785
(617) 414-1588
Mailing address
29 WINDSOR DR, WHITMAN, MA 02382-1049
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PH24141
MA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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