Individual
MARK CAMERON LASORSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-6243
Mailing address
3 SILO LN, COVENTRY, RI 02816-8251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239211
MA
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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