Individual
KATELYN VAUTRIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
360 LONGWOOD AVE, SUITE 7200, BOSTON, MA 02115
(774) 644-5136
Mailing address
360 LONGWOOD AVE, SUITE 7200, BOSTON, MA 02115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235900
MA
1835P2201X
Ambulatory Care Pharmacist
PH235900
MA
Other
Enumeration date
02/01/2017
Last updated
11/30/2018
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