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Individual

MR. JOHN HERENDEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 496-6661
Mailing address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 496-6661

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19212
MA

Other

Enumeration date
05/07/2008
Last updated
05/07/2008
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