Individual
JANUARY LYNN GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
50 LINCOLN ST, NORTH ADAMS, MA 01247-2401
(413) 663-5270
Mailing address
50 LINCOLN ST, NORTH ADAMS, MA 01247-2401
(413) 663-5270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033.0134315
VT
183500000X
Pharmacist
Primary
PH239053
MA
183500000X
Pharmacist
PS60661
FL
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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