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Susan Marie Consoletti

Pharmacist in Worcester, MA. Individual provider (NPI-1).

NPI number1164027124
StatusActive
Last updated in NPPESNov 30, 2020

Details

NPI
1164027124
Entity type
Individual (NPI-1)
Name
Susan Marie Consoletti
Sex
Female
Sole proprietor
No
Enumeration date
Nov 30, 2020
Certification date
Nov 30, 2020
Last updated
Nov 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPH23047MAYes

Practice location

500 Grafton St
Worcester, MA 01604-4713

Phone 508-798-8743

Mailing address

35 Thornton St
Mendon, MA 01756-1004

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