Felipe O Goncalves
Pharmacist in Southbridge, MA. Individual provider (NPI-1).
NPI number1972321925
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1972321925
- Entity type
- Individual (NPI-1)
- Name
- Felipe O Goncalves
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2024
- Certification date
- Sep 25, 2024
- Last updated
- Sep 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH24438 | MA | Yes |
Practice location
11-15 Sandersdale RdSouthbridge, MA 01550
Phone 774-318-1187 · Fax 774-272-8835
Mailing address
22 Deerfield DrWilbraham, MA 01095-2367
Phone 413-348-3095 · Fax 774-272-8835
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All 20 Pharmacist providers in Southbridge · All 653 providers in Southbridge
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