Individual
MICHELE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-2411
(617) 665-1148
Mailing address
51 LAWRENCE ST, MEDFORD, MA 02155-4133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24583
MA
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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