Individual
DR. KEVIN MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
655 MOUNT AUBURN ST, WATERTOWN, MA 02472-2017
(617) 744-0842
Mailing address
51 DARTMOUTH ST, WATERTOWN, MA 02472-4221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239702
MA
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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