Individual
CHIMAOBI CHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
278 BLUE HILL AVE, ST. 288, BOSTON, MA 02119
(617) 652-7679
(857) 308-3440
Mailing address
17 MICHELLE LN, RANDOLPH, MA 02368-1526
(617) 291-8144
(857) 308-3440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235477
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH235477
PHARMACIST LICENSE NUMBER
MA
Enumeration date
02/03/2021
Last updated
02/03/2021
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