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Individual

DR. ALEX VITAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
815 GRAND ARMY HWY, SOMERSET, MA 02726-1204
(508) 324-9693
Mailing address
815 GAR HWY, SOMERSET, MA 02726-1204
(508) 324-9693

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240271
MA

Other

Enumeration date
08/18/2021
Last updated
09/05/2021
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