DR. Kenneth Fairbanks JR., PHARMD

NPI #1073133088 in Worcester, Massachusetts

Provider Information

NPI Number: 1073133088
Entity Type: Individual
Name: DR. Kenneth Fairbanks JR., PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Apr 20, 2020
Last Updated: Apr 21, 2020

Practice Location

Address: 500 GRAFTON ST
City: Worcester
State: Massachusetts
ZIP Code: 01604-4713
Phone: (508) 798-8743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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