Individual
ROGER MOMBOURQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 W BOYLSTON ST, WORCESTER, MA 01605-1228
(508) 852-5344
(508) 852-6376
Mailing address
14 W BOYLSTON ST, WORCESTER, MA 01605-1228
(508) 852-5344
(508) 852-6376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH15170
MA
Other
Enumeration date
03/20/2016
Last updated
03/20/2016
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