Jennifer Khodush, PharmD
Pharmacist in Medford, MA. Individual provider (NPI-1).
NPI number1629795232
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1629795232
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Khodush
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2022
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26080 | MA | Yes |
Practice location
590 FellswayMedford, MA 02155-4925
Phone 781-391-2668
Mailing address
590 FellswayMedford, MA 02155-4925
Phone 781-391-2668
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