Individual
PAUL DAGRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
16 BURPEE RD, SWAMPSCOTT, MA 01907-1736
(978) 224-4001
Mailing address
16 BURPEE RD, SWAMPSCOTT, MA 01907-1736
(781) 224-4001
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT7518
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405914
—
MA
Enumeration date
02/03/2015
Last updated
02/03/2015
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