Individual
JEFFREY JOHN SKALABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
409 W BROADWAY, BOSTON, MA 02127-2245
(617) 766-9038
Mailing address
409 W BROADWAY, BOSTON, MA 02127-2245
(617) 766-9038
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
233208
MA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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