Individual
ODILIA ISABEL DESROCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-3209
Mailing address
168 MAIN ST, ACUSHNET, MA 02743-1546
(508) 965-5343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25423
MA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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