Individual
JULIE SAMALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 WEST ST, PITTSFIELD, MA 01201-5732
(413) 499-4624
Mailing address
107 WEST ST, PITTSFIELD, MA 01201-5732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23967
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409801
—
MA
Enumeration date
07/27/2011
Last updated
07/27/2011
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