Individual
MATTHEW BRIAN BELLEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
470 N MAIN ST, EAST LONGMEADOW, MA 01028-1861
(413) 525-6929
Mailing address
470 N MAIN ST, EAST LONGMEADOW, MA 01028-1861
(413) 525-6929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH18640
MA
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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