Kracoff, Gary L

Kracoff, Gary L is an individual health care provider with primary practice located at 577 Main St , Waltham MA 02452-5527. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kracoff, Gary L can be contacted via phone (781) 893-3870.

Contact Information

Primary practice address
577 Main St Waltham MA 02452-5527
Phone: (781) 893-3870
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 17262 Massachusetts

Profile Details

NPI number 1497934194
LBN Legal business name Kracoff, Gary L
Credentials REG. PHARM, NMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Oct 30th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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