Individual
DR. KENZIE HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
116 LONG POND RD, PLYMOUTH, MA 02360-2663
(774) 467-0939
Mailing address
116 LONG POND RD, PLYMOUTH, MA 02360-2663
(774) 467-0939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH234754
MA
1835G0303X
Geriatric Pharmacist
Primary
PH234754
MA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH234754
MA
Other
Enumeration date
05/11/2015
Last updated
06/28/2023
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