Individual
DR. KENNETH FAIRBANKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 GRAFTON ST, WORCESTER, MA 01604-4713
(508) 798-8743
Mailing address
3 DAVIS RD, AUBURN, MA 01501-3101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234794
MA
Other
Enumeration date
04/20/2020
Last updated
04/21/2020
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