Individual
ALEKSEY GROKHOTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
43 STATE ST, LYNN, MA 01901-1504
(781) 596-9625
(781) 595-4560
Mailing address
43 STATE ST, LYNN, MA 01901-1504
(781) 596-9625
(781) 595-4560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233176
MA
Other
Enumeration date
03/20/2016
Last updated
03/20/2016
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