Individual
EZRA VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
14 W BOYLSTON ST, WORCESTER, MA 01605-1228
(508) 852-5344
Mailing address
14 W BOYLSTON ST, WORCESTER, MA 01605-1228
(508) 852-5344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1001133
MA
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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