Individual
ERINDA IKONOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
393 CHANDLER ST, WORCESTER, MA 01602-3329
(508) 754-5348
Mailing address
24 EL CANEY RD, WORCESTER, MA 01603-1005
(508) 410-2126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234780
MA
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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