Individual
KATHRYN MARIE MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1438
Mailing address
7 RAILROAD AVE, GLOUCESTER, MA 01930-3540
(978) 283-3131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH236966
MA
Other
Enumeration date
09/12/2016
Last updated
08/20/2020
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