Individual
MOLECA MICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 MEDFORD ST, SOMERVILLE, MA 02145-2657
(617) 628-1401
Mailing address
532 MEDFORD ST, SOMERVILLE, MA 02145-2657
(617) 628-1401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH236924
MA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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