Individual
MR. JOHN PATRICK OTOOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7730
(508) 860-7737
Mailing address
113 IVY DR, LANCASTER, MA 01523-1963
(978) 368-0553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15753
MA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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