Individual
PATRICIA SUPCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
433 CENTER ST STE 3, LUDLOW, MA 01056-2951
(413) 583-7910
Mailing address
9 ELIOT LN, WILBRAHAM, MA 01095-1814
(413) 221-4428
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25085
MA
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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