Individual
JOHN ANDREW TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 EASTLAND RD, JAMAICA PLAIN, MA 02130-4637
(617) 971-0395
Mailing address
22 EASTLAND RD, JAMAICA PLAIN, MA 02130-4637
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
18829
MA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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