Mary Lo
NPI #1104542687 in Watertown, Massachusetts
Provider Information
- NPI Number
- 1104542687
- Entity Type
- Individual
- Name
- Mary Lo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 17, 2022
- Last Updated
- Oct 17, 2022
Practice Location
- Address
- 655 MOUNT AUBURN ST
- City
- Watertown
- State
- Massachusetts
- ZIP Code
- 02472-2017
- Phone
- (617) 744-0842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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