Individual
MARIA ANTONUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159
(978) 287-3770
Mailing address
102 COLBURN ST, LEOMINSTER, MA 01453-4005
(508) 596-1247
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH25140
MA
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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