Individual
AMANDA A PENACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
34 FORSYTHIA LN, WESTPORT, MA 02790-2600
(508) 961-7922
Mailing address
34 FORSYTHIA LN, WESTPORT, MA 02790-2600
(508) 961-7922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235934
MA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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