Individual
KEVIN PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 PLAIN ST, LOWELL, MA 01851-4419
(978) 453-7538
Mailing address
54 PLAIN ST, LOWELL, MA 01851-4419
(978) 453-7538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1000769
MA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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