Individual
MISS MIKI TAKEMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
750 WASHINGTON ST, BOX 420, BOSTON, MA 02111-1526
(617) 636-7238
(617) 636-1612
Mailing address
1575 TREMONT ST, #501, ROXBURY CROSSING, MA 02120-1677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24184
MA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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