Individual
LIDA SMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 WALNUT ST, SAUGUS, MA 01906-1994
(617) 367-4692
Mailing address
859 BROADWAY APT 419, SAUGUS, MA 01906-3396
(857) 544-6781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241217
MA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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