Individual
LENA YACOUBIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
232 MAIN ST, GARDNER, MA 01440-2927
(978) 630-2808
Mailing address
35 MADISON AVE, WINCHENDON, MA 01475-2154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26457
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26457
LICENSE
MA
Enumeration date
01/21/2022
Last updated
01/21/2022
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