Individual
ANDY HAMILTON HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 MAIN ST # 522, MELROSE, MA 02176-3880
(781) 665-7107
Mailing address
52 WOODLAWN ST, EVERETT, MA 02149-5040
(617) 899-3670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240450
MA
Other
Enumeration date
10/06/2021
Last updated
02/12/2024
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