Individual
KIMBERLY BETH IGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
261 CHAUNCY ST, MANSFIELD, MA 02048-1247
(508) 339-6711
Mailing address
261 CHAUNCY ST, MANSFIELD, MA 02048-1247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235277
MA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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