Individual
RUSSELL HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
711 MAIN ST, DENNIS PORT, MA 02639-1420
(508) 398-5097
Mailing address
711 MAIN ST, DENNIS PORT, MA 02639-1420
(508) 398-5097
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17747
MA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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