Individual
MIREILLE THERENCIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
757 GALLIVAN BLVD STE 3, DORCHESTER, MA 02122-3188
(617) 282-5246
Mailing address
30 BELAIR DR, HOLBROOK, MA 02343-1886
(857) 222-8858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH26255
MA
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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