Individual
MARK A GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1 KELLY SQ, EAST BOSTON, MA 02128-1911
(617) 569-5278
(617) 569-6355
Mailing address
1 KELLY SQ, EAST BOSTON, MA 02128-1911
(617) 569-5278
(617) 569-6355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18711
MA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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