Individual
LOIS MALLALIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 NORTHBORO RD, SOUTHBOROUGH, MA 01772-1033
(508) 481-5800
Mailing address
155 NORTHBORO RD, SOUTHBOROUGH, MA 01772-1033
(508) 481-5800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17999
MA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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