Individual
GERAND BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 GIBBS ST, WORCESTER, MA 01607-1457
(774) 243-4231
Mailing address
51 GIBBS ST, WORCESTER, MA 01607-1457
(774) 243-4231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1000777
MA
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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