Individual
DR. RICKY BALUBHAI THUMAR
Active
Individual
DR. RICKY BALUBHAI THUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH234175
MA
1835P2201X
Ambulatory Care Pharmacist
Primary
PH234175
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MCS000011P
CONTROLLED SUBSTANCE REGISTRATION (MASSACHUSETTS)
MA
01
—
PH234175
PHARMACIST STATE LICENSE (MASSACHUSETTS)
MA
Enumeration date
08/13/2014
Last updated
06/11/2019
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