Individual
HAMIS WAGWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 MASS AVE, ARLINGTON, MA 02476-4103
(781) 646-3869
Mailing address
2 BARON PARK LN APT 20, BURLINGTON, MA 01803-5422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1000101
MA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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