Individual
MR. DANIEL M LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
150 S HUNTINGTON AVE, (119), BOSTON, MA 02130-4817
(857) 364-4315
Mailing address
150 S HUNTINGTON AVE, (119), BOSTON, MA 02130-4817
(857) 364-4315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17984
MA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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