Individual
SAMUEL TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 MAPLE ST STE 450, MARLBOROUGH, MA 01752-3288
(508) 970-9009
Mailing address
340 MAPLE ST STE 450, MARLBOROUGH, MA 01752-3288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234105
MA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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