Individual
DR. DIEGO MEDINA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
590 FELLSWAY, MEDFORD, MA 02155-4925
(781) 391-2668
Mailing address
12 VALLEY ST APT 244, EVERETT, MA 02149-2035
(415) 629-2008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241523
MA
Other
Enumeration date
07/31/2012
Last updated
07/10/2023
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