Individual
INA BEQO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
676 SOUTHBRIDGE ST, AUBURN, MA 01501-1801
(508) 832-6257
Mailing address
676 SOUTHBRIDGE ST, AUBURN, MA 01501-1801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH236836
MA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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