Individual
DR. GREGORY VINCENT MAINELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
731 BOSTON TPKE, SHREWSBURY, MA 01545-3201
(774) 214-4255
(508) 841-8100
Mailing address
731 BOSTON TPKE, SHREWSBURY, MA 01545-3201
(774) 214-4255
(508) 841-8100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233411
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183374
NEBP E-PROFILE ID #
—
01
—
PH233411
PHARMACIST LICENSE #
MA
Enumeration date
11/15/2012
Last updated
11/15/2012
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