Individual
GRACE MOSALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
264 W BOYLSTON ST, WEST BOYLSTON, MA 01583-1729
(781) 492-4895
Mailing address
20 HILLTOP ST, NORTH GRAFTON, MA 01536-1271
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH997315
MA
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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