Individual
KETAKEE BORIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1478 HIGHLAND AVE, NEEDHAM, MA 02492
(949) 295-9251
Mailing address
1478 HIGHLAND AVE, NEEDHAM, MA 02492
(949) 295-9251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66594
CA
183500000X
Pharmacist
PPH240164
MA
Other
Enumeration date
08/08/2012
Last updated
08/08/2021
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