Individual
MR. BRIAN LEWIS PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
36 MAPLE ST, HYDE PARK, MA 02136-2739
(617) 361-7932
Mailing address
36 MAPLE ST, HYDE PARK, MA 02136-2739
(617) 361-7932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16488
MA
Other
Enumeration date
02/24/2007
Last updated
06/03/2013
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