Individual
DR. ELISE WOLLENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
177 HUNTINGTON AVE STE 17, BOSTON, MA 02115-3156
(617) 780-0386
Mailing address
177 HUNTINGTON AVE STE 17, BOSTON, MA 02115-3156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234087
MA
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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