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Individual

ERIKA RIOUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
621007010358480

Contact information

Practice address
9 SIMON DR, MILFORD, MA 01757-1015
(413) 250-3882
Mailing address
423 DONALD LYNCH BLVD, MARLBOROUGH, MA 01752-4709
(508) 573-1005
(508) 970-8404

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
620107010358480
183700000X
Pharmacy Technician
PT15981
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
620107010358480
PTCB LICENSE
01
PT15981
MA STATE REGISTRATION
MA
Enumeration date
02/09/2015
Last updated
02/09/2015
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