Individual
BAKHEET SHENODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1035B PROVIDENCE RD, WHITINSVILLE, MA 01588-2121
(508) 372-0627
Mailing address
1035B PROVIDENCE RD, WHITINSVILLE, MA 01588-2121
(508) 372-0627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
237672
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237672
RPH LICENSE
MA
Enumeration date
08/29/2018
Last updated
08/29/2018
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