Individual
ORGESA CEPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TECHNOLOGY CENTER DR STE 600, STOUGHTON, MA 02072-4749
(781) 566-5066
Mailing address
129 S PARK BLVD, GLEN ELLYN, IL 60137-6324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051300772
IL
183500000X
Pharmacist
Primary
065342
NY
Other
Enumeration date
09/25/2017
Last updated
08/17/2023
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