Individual
OMAR REZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
501 SUMNER AVE, SPRINGFIELD, MA 01108-2306
(413) 746-1563
Mailing address
24 MELODY LN, SHREWSBURY, MA 01545-5432
(508) 740-5677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH23547
MA
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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