Individual
KETUL N AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
105 MAIN ST, MAYNARD, MA 01754-2514
(978) 897-2939
Mailing address
105 MAIN ST, MAYNARD, MA 01754-2514
(978) 897-2939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.0014256
CT
183500000X
Pharmacist
Primary
PH237872
MA
Other
Enumeration date
10/09/2018
Last updated
06/07/2024
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