Individual
KIM STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
330 RUTHERFORD AVE STE 1, CHARLESTOWN, MA 02129-2932
(617) 681-7107
(617) 326-5123
Mailing address
455 ALLEN AVE, WAKEFIELD, RI 02879-2325
(401) 480-6951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH21707
MA
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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