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Individual

JOSE BARRIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
725 ALBANY ST, BOSTON, MA 02118-2526
(617) 414-0579
Mailing address
725 ALBANY ST, BOSTON, MA 02118-2526
(617) 414-0579

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25598
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH25598
MASSACHUSETS PHARMACY LICENSE
MA
Enumeration date
02/01/2016
Last updated
02/01/2016
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