Most Relevant Information
Provider Data
| NPI Number: | 1003411620 |
| Provider Name: | MARIEBELLE ELKHOURY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH239153 |
Most Important Dates
| Enumeration Date: | 12/01/2020 |
| Last Updated: | 12/01/2020 |
Provider Practice Location
355 CENTRE ST
BROCKTON
MA
023022741
Practice Location Phone/Fax
| Phone: | 5085598084 |
| Fax: |
Provider Mailing Location
355 CENTRE ST
BROCKTON
MA
023022741
Provider Mailing Phone/Fax
| Phone: | 5085598084 |
| Fax: |