Individual
MR. NICHOLAS HYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 ATLANTIC AVE, MARBLEHEAD, MA 01945-3103
(781) 639-1466
Mailing address
45 ATLANTIC AVE, MARBLEHEAD, MA 01945-3103
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT18710
MA
Other
Enumeration date
10/23/2014
Last updated
11/12/2014
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