Individual
SHADI F KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 MAIN ST, TEWKSBURY, MA 01876-2112
(978) 851-6856
Mailing address
1900 MAIN ST, TEWKSBURY, MA 01876-2112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1000475
MA
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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