Individual
SHANNON RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3307
(617) 876-7868
Mailing address
624 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3307
(617) 876-7868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051302069
IL
183500000X
Pharmacist
Primary
PH238293
MA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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