Individual
JUDY KOHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 MAIN ST, LAKEVILLE, MA 02347-1607
(508) 932-6903
Mailing address
32 MAIN ST, LAKEVILLE, MA 02347-1607
(508) 932-6903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239256
MA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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