Individual
JAYSON PUNLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
884 MAIN ST, MELROSE, MA 02176-2346
(781) 462-2000
Mailing address
884 MAIN ST, MELROSE, MA 02176-2346
(781) 462-2000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237702
MA
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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