Individual
KYLE CLINTON FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1145 KEMPTON ST, NEW BEDFORD, MA 02740-1531
(508) 999-3241
Mailing address
1145 KEMPTON ST, NEW BEDFORD, MA 02740-1531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234922
MA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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