Individual
KANIKA JAYESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 MAIN ST, WAKEFIELD, MA 01880-3354
(781) 245-2270
Mailing address
451 MAIN ST, WAKEFIELD, MA 01880-3354
(781) 245-2270
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH239738
MA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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