Organization
RXADVANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVI IKA (CEO)
(508) 804-6900
Entity
Organization
Contact information
Practice address
2 PARK CENTRAL DR, SUITE 200, SOUTHBOROUGH, MA 01772-1777
(508) 804-6900
Mailing address
2 PARK CENTRAL DR, SUITE 200, SOUTHBOROUGH, MA 01772-1777
(508) 804-6900
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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