Individual
GANIATOU DOWOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MAIN ST, MILLBURY, MA 01527-2003
(508) 865-0544
(508) 865-1917
Mailing address
25 MAIN ST, MILLBURY, MA 01527-2003
(508) 865-0544
(508) 865-1917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1000114
MA
3336C0003X
Community/Retail Pharmacy
PH1000114
MA
3336C0003X
Community/Retail Pharmacy
PL166479
—
Other
Enumeration date
08/05/2024
Last updated
10/24/2024
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