Individual
ENIOLA BISOLA TUBY-LUKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 UNION ST, LYNN, MA 01901-1348
(781) 593-4805
(781) 593-5275
Mailing address
130 HARVARD ST, MALDEN, MA 02148-7903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238651
MA
183500000X
Pharmacist
PHCY-04475
NH
Other
Enumeration date
08/01/2018
Last updated
04/23/2019
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