Individual
DR. KIRTHANA BEAULAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
649 CAMBRIDGE TPKE, CONCORD, MA 01742-3726
(914) 320-3255
Mailing address
649 CAMBRIDGE TPKE, CONCORD, MA 01742-3726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT0011994
CT
183500000X
Pharmacist
Primary
PH233161
MA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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