Individual
LUKASZ JAN KICILINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
320 PARK AVE, WORCESTER, MA 01610-1021
(508) 767-1732
Mailing address
706 BEACON PARK, WEBSTER, MA 01570-1565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235136
MA
183500000X
Pharmacist
PS50595
FL
Other
Enumeration date
08/13/2013
Last updated
08/06/2014
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