Individual
MRS. KEIRSTEN ROCHELLE PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
285 COLUMBUS AVE, BOSTON, MA 02116-5292
(617) 236-8538
(617) 236-4267
Mailing address
285 COLUMBUS AVE, BOSTON, MA 02116-5292
(617) 236-8538
(617) 236-4267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26510
MA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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