Individual
MR. JOHN D LEARY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1690 COMMONWEALTH AVE, BRIGHTON, MA 02135-5602
(617) 232-3513
(617) 232-1569
Mailing address
1690 COMMONWEALTH AVE, BRIGHTON, MA 02135-5602
(617) 232-3513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18373
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400076
—
MA
01
—
2204662
NABP NUMBER
—
Enumeration date
06/23/2006
Last updated
06/22/2011
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