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Individual

MITHU POOJA KHANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
529 LINCOLN ST, WORCESTER, MA 01605-1905
(508) 852-5790
(508) 852-5790
Mailing address
37 GEORGETOWN DR APT 5, FRAMINGHAM, MA 01702-7532
(603) 943-3758

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
232879
MA

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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