Individual
JOHN CORREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-0004
Mailing address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-0004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH23614
MA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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