Individual
MR. JASON LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
264 E MAIN ST, MARLBOROUGH, MA 01752-2669
(508) 485-6119
Mailing address
7 BRYANT LN, NORTHBOROUGH, MA 01532-1673
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238818
MA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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