Individual
PHILY LE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 MAIN ST, HOLDEN, MA 01520-1221
(508) 829-1780
Mailing address
1145 MAIN ST, HOLDEN, MA 01520-1221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239942
MA
Other
Enumeration date
12/14/2020
Last updated
01/01/2021
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