Individual
MRS. KIMBERLY SUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 PEARL ST, BROCKTON, MA 02301-5406
(800) 242-0978
(800) 345-7741
Mailing address
1123 PEARL ST, BROCKTON, MA 02301-5406
(800) 242-0978
(800) 345-7741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH24836
MA
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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