Healthcare Provider Details

I. General information

NPI: 1437418399
Provider Name (Legal Business Name): KAASHI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2012
Last Update Date: 07/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 COCHITUATE RD
FRAMINGHAM MA
01701-7821
US

IV. Provider business mailing address

151 COCHITUATE RD
FRAMINGHAM MA
01701-7821
US

V. Phone/Fax

Practice location:
  • Phone: 508-202-9993
  • Fax: 508-202-9343
Mailing address:
  • Phone: 508-202-9993
  • Fax: 508-202-9343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberDS89813
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VIPUL PATEL
Title or Position: PHARMACY MANAGER
Credential:
Phone: 810-429-2216