Individual
MR. KENNETH PAUL SANASARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2400 CRANBERRY HWY, WAREHAM, MA 02571-1043
(508) 295-7399
(508) 295-6163
Mailing address
15 COTTONTAIL TRL, PLYMOUTH, MA 02360-1618
(508) 224-9356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17465
MA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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