Individual
DWIGHT HUSELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 MAIN ST, PEABODY, MA 01960-5548
(978) 977-9211
Mailing address
12 UNION ST, BEVERLY, MA 01915-5102
(908) 752-9323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239664
MA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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