Individual
ANGE FLORENT SIBAILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
256 LINCOLN ST, WORCESTER, MA 01605-2105
(508) 791-2579
(508) 363-4763
Mailing address
82 BOWKER ST, WORCESTER, MA 01604-2147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27285
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087468N
—
MA
Enumeration date
10/10/2022
Last updated
10/10/2022
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