Individual
MS. RAJANI BALASUBRAMANIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2184
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH22745
MA
Other
Enumeration date
03/16/2016
Last updated
04/22/2021
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