Individual
BRIAN MONTVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
707 STATE ST, SPRINGFIELD, MA 01109-4109
(413) 731-6410
Mailing address
707 STATE ST, SPRINGFIELD, MA 01109-4109
(413) 731-6410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH236075
MA
Other
Enumeration date
07/27/2015
Last updated
08/05/2015
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