Individual
KYLE WOJCIECHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 LONGWOOD AVE # CVS, BOSTON, MA 02115-5724
(617) 975-3500
Mailing address
300 LONGWOOD AVE # CVS, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
237292
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087466T
—
MA
01
—
237292
PHARMACIST
MA
Enumeration date
12/01/2020
Last updated
12/01/2020
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