Individual
MACKENZIE RAE BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
189 WATERTOWN ST, WATERTOWN, MA 02472-2571
(617) 332-5528
Mailing address
89 EMERALD WAY, NORTH SCITUATE, RI 02857-2858
(401) 793-1646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240364
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
000
—
Enumeration date
10/11/2022
Last updated
10/11/2022
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