Michael Derosa, PHARM D

NPI 1427351691 · on the registry since 2010 · sole proprietor

Practice

Address: 114 Central St
Ipswich, MA 01938
Phone: (978) 356-9198
Fax: (978) 356-9108
Organisation at this address: Walgreen Co
Cvs Pharmacy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts