Individual
DR. MICHAEL THOMAS TAKACH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(617) 232-9500
Mailing address
20 JAMAICAWAY APT 12, BOSTON, MA 02130-1016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR46769
ME
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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