Individual
ANDREW MITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
72 PULLMAN ST, WORCESTER, MA 01606-3311
(508) 854-8318
Mailing address
72 PULLMAN ST, WORCESTER, MA 01606-3311
(508) 854-8318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH27141
MA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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