Individual
DR. ALEXANDRA WHIDDON TATARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
55 FRUIT STREET, GRB 005, BOSTON, MA 02114
(617) 724-1940
Mailing address
55 FRUIT STREET, GRB 005, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238070
MA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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