Individual
JENNIFER ANN TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 E FALMOUTH HWY, EAST FALMOUTH, MA 02536-6166
(508) 540-8621
Mailing address
419 E FALMOUTH HWY, EAST FALMOUTH, MA 02536-6166
(508) 540-8621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH24872
MA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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