Individual
DONNA MARIE L'ITALIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
1123 PEARL ST, BROCKTON, MA 02301-5406
(180) 024-2097
Mailing address
12 SANDY AVE, CANTON, MA 02021-2347
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19278
MA
183500000X
Pharmacist
2436
NH
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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