Individual
DIMITRIOS SOTIRIOS BAKOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 MORTON ST, MATTAPAN, MA 02126-1850
(617) 298-3114
Mailing address
2150 PROVIDENCE HWY, WALPOLE, MA 02081-2525
(617) 325-0017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH236236
MA
Other
Enumeration date
09/08/2015
Last updated
06/08/2022
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