Individual
ADELINE W LANTUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
800 RIVER ST, HAVERHILL, MA 01832-3612
(978) 521-0618
Mailing address
50 LANCASTER DR, TEWKSBURY, MA 01876-1325
(978) 640-0002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH26937
MA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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