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Individual

MICHAEL DEROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
114 CENTRAL ST, IPSWICH, MA 01938-1952
(978) 356-9198
(978) 356-9108
Mailing address
23 RIVERFRONT DR, AMESBURY, MA 01913-4500
(781) 760-8115

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25737
MA

Other

Enumeration date
12/09/2010
Last updated
12/09/2010
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