NPI 1104542687

Mary Lo

Practitioner Pharmacist Watertown, MA

Practice location

Address: 655 Mount Auburn St, Watertown, MA 02472-2017
Phone: (617) 744-0842

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH22340 (MA)

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Registry record

NPI: 1104542687
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2022
Record last updated: 17 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.