Individual
JORDAN BERISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4165 WASHINGTON ST, ROSLINDALE, MA 02131-1718
(617) 327-6326
Mailing address
66 ETHYL WAY, STOUGHTON, MA 02072-6128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240992
MA
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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