Individual
LOTHIDA PHOTHISANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
689 DEPOT ST, NORTH EASTON, MA 02356-2703
(508) 238-0604
Mailing address
14 JAMES ST, HOLBROOK, MA 02343-1808
(401) 480-3462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH26866
MA
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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