Individual
MRS. ANA MIRIAM WELLHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
21 STANHOPE ST, BOSTON, MA 02116-5111
(617) 375-7969
(617) 375-9656
Mailing address
73 PINE ST, NATICK, MA 01760-1207
(508) 653-9298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH22246
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22246
PHARMACIST
MA
Enumeration date
12/20/2012
Last updated
12/20/2012
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