Roger Mombourquette

NPI #1477914398 in Worcester, Massachusetts

Provider Information

NPI Number: 1477914398
Entity Type: Individual
Name: Roger Mombourquette
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 20, 2016
Last Updated: Mar 20, 2016

Practice Location

Address: 14 W BOYLSTON ST
City: Worcester
State: Massachusetts
ZIP Code: 01605-1228
Phone: (508) 852-5344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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