MEDICARE: ROUPEN DECHKOUNIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	038076	NY
2	183500000X	Pharmacist	PH27354	MA

General Provider Information

NPI Number	:	1467154690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROUPEN DECHKOUNIAN

Provider Business Mailing Address
First Line	:	12 SCOTT RD
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02421-8118
Country	:	US
Telephone Number	:	617-633-0794
Fax Number	:

Provider Business Practice Location Address
First Line	:	181 CEDAR HILL ST
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-3057
Country	:	US
Telephone Number	:	508-624-8880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	03/21/2023

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Directions to “ ROUPEN DECHKOUNIAN ” Practice Location

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