Individual
MARY TAVERNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 ATTUCKS LN, HYANNIS, MA 02601-8142
(508) 790-2182
Mailing address
425 ATTUCKS LN, HYANNIS, MA 02601-8142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240258
MA
Other
Enumeration date
08/10/2021
Last updated
02/10/2023
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