Individual
NGOC NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
341 HARRISON AVE, BOSTON, MA 02118-2265
(617) 556-3922
Mailing address
341 HARRISON AVE, BOSTON, MA 02118-2265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH24971
MA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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