Individual
JEAN E PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 HAZEL PARK STE B, EVERETT, MA 02149-2507
(617) 372-7742
Mailing address
9 HAZEL PARK STE B, EVERETT, MA 02149-2507
(617) 372-7742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27757
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH27757
LICENSE
MA
Enumeration date
10/12/2021
Last updated
10/12/2021
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