Individual
DR. JOSE ROBERTO CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
784 MAIN RD, WESTPORT, MA 02790-4341
(508) 636-5957
Mailing address
11 SENECHAL ST, WESTPORT, MA 02790-3506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
237727
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH237727
PHARMACY LICENSE
MA
Enumeration date
04/13/2020
Last updated
04/13/2020
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