Individual
ELVISH RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 SQUIRE RD, REVERE, MA 02151-1863
(781) 289-6879
Mailing address
540 SQUIRE RD, REVERE, MA 02151-1863
(781) 289-6879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233658
MA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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