Individual
MICHELLE SOVA TALLGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 ESSEX AVE, GLOUCESTER, MA 01930-4927
(978) 290-1284
Mailing address
23 ESSEX AVE, GLOUCESTER, MA 01930-4927
(978) 290-1284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH24276
MA
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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