Individual
OLGA NIKOLAEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 OTIS ST, NORTHBOROUGH, MA 01532-2442
(508) 393-1745
Mailing address
200 OTIS ST, NORTHBOROUGH, MA 01532-2442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17622
OK
183500000X
Pharmacist
Primary
237706
MA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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