Individual
MS. MICHELLE YVONNE JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
970 SAINT JAMES AVE, SPRINGFIELD, MA 01104-2800
(413) 737-6346
(413) 785-5850
Mailing address
4 SANDY CT, WILBRAHAM, MA 01095-1792
(401) 279-1026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH23051
MA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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