Individual
COLLINS EVANS KABUTHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 JACKSON ST, METHUEN, MA 01844-5014
(978) 681-7607
Mailing address
14 JACKSON ST, METHUEN, MA 01844-5014
(978) 681-7607
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240655
MA
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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