Individual
IRA XHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
393 CHANDLER ST, WORCESTER, MA 01602-3329
(508) 754-5348
Mailing address
9 KIMBALL ST, WORCESTER, MA 01605-3110
(508) 754-5348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233570
MA
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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