Individual
MELISSA DORISMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
290 BROADWAY, LYNN, MA 01904-1806
(781) 581-9400
Mailing address
290 BROADWAY, LYNN, MA 01904-1806
(781) 581-9400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239186
MA
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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