Individual
JAMIE VAN KLEECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
75 FRANCIS ST, L2 PHARMACY, BOSTON, MA 02115-6110
(617) 732-7153
Mailing address
75 FRANCIS ST, L2 PHARMACY, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
119638
MN
183500000X
Pharmacist
Primary
PH233502
MA
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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