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Individual

MS. SUSAN MILLIKEN HOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5389
Mailing address
15 JUNIPER RD, MEDWAY, MA 02053-2439
(617) 383-6177

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
9974
CT
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9974
CT
1835P2201X
Ambulatory Care Pharmacist
Primary
9974
CT

Other

Enumeration date
10/16/2006
Last updated
04/19/2016
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